Aligner Pliers Hole Punch makes 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 soft tissue clearance to forestall aligner impingement of tissue. The hole punch is made use of to produce Spherical Cutouts for relief https://www.ortix.co.uk/product/aligner-hole-punch-pliers/