Aligner Pliers Hole Punch produces 6.0mm 50 %-moon cutouts for reduction of very clear aligners close to bonded buttons used for elastics. It may also nip absent plastic to deliver smooth tissue clearance to avoid aligner impingement of tissue. Precision Dental Instruments is one of The usa’s main Instrument producers, https://www.ortix.co.uk/product/aligner-hole-punch-pliers/