Aligner Pliers Hole Punch creates 6.0mm half-moon cutouts for aid of clear aligners about bonded buttons used for elastics. It may also nip away plastic to supply delicate tissue clearance to stop aligner impingement of tissue. The hole punch is used to develop Spherical Cutouts for reduction of clear aligners https://www.ortix.co.uk/product/aligner-hole-punch-pliers/