Aligner Pliers Hole Punch generates 6.0mm 50 %-moon cutouts for reduction of very clear aligners about bonded buttons used for elastics. It may nip away plastic to provide tender tissue clearance to forestall aligner impingement of tissue. The hole punch is applied to create Round Cutouts for relief of crystal https://www.ortix.co.uk/product/aligner-hole-punch-pliers/