Aligner Pliers Hole Punch creates 6.0mm 50 percent-moon cutouts for relief of obvious aligners around bonded buttons employed for elastics. It can also nip away plastic to offer gentle tissue clearance to circumvent aligner impingement of tissue. The hole punch is made use of to generate Round Cutouts for reduction https://www.ortix.co.uk/product/aligner-hole-punch-pliers/