Aligner Pliers Hole Punch results in 6.0mm 50 %-moon cutouts for relief of very clear aligners all-around bonded buttons useful for elastics. It can also nip away plastic to provide gentle tissue clearance to stop aligner impingement of tissue. Precision Dental Instruments is one of The us’s leading Instrument manufacturers, https://www.ortix.co.uk/product/aligner-hole-punch-pliers/