Aligner Pliers Hole Punch makes 6.0mm 50 %-moon cutouts for relief of very clear aligners all over bonded buttons used for elastics. It could also nip away plastic to provide soft tissue clearance to avoid aligner impingement of tissue. The hole punch is used to build Round Cutouts for reduction https://www.ortix.co.uk/product/aligner-hole-punch-pliers/