Aligner Pliers Hole Punch results in 6.0mm half-moon cutouts for relief of clear aligners about bonded buttons utilized for elastics. It also can nip away plastic to supply comfortable tissue clearance to avoid aligner impingement of tissue. The hole punch is made use of to build Spherical Cutouts for aid https://www.ortix.co.uk/product/aligner-hole-punch-pliers/