Aligner Pliers Hole Punch makes 6.0mm 50 %-moon cutouts for aid of crystal clear aligners all over bonded buttons employed for elastics. It could also nip away plastic to provide gentle tissue clearance to avoid aligner impingement of tissue. Precision Dental Instruments is one of The usa’s major Instrument producers, https://www.ortix.co.uk/product/aligner-hole-punch-pliers/