Aligner Pliers Hole Punch makes 6.0mm half-moon cutouts for relief of crystal clear aligners all-around bonded buttons useful for elastics. It may nip away plastic to offer smooth tissue clearance to circumvent aligner impingement of tissue. The hole punch is employed to develop Round Cutouts for reduction of clear aligners https://www.ortix.co.uk/product/aligner-hole-punch-pliers/