Aligner Pliers Hole Punch makes six.0mm 50 %-moon cutouts for aid of apparent aligners about bonded buttons used for elastics. It may also nip away plastic to supply smooth tissue clearance to prevent aligner impingement of tissue. The hole punch is made use of to make Round Cutouts for relief https://www.ortix.co.uk/product/aligner-hole-punch-pliers/