The Petite Punch cuts a 4.5mm half-moon cutout for relief of clear aligners around bonded buttons used for elastics and nips away plastic to provide soft tissue clearance to prevent aligner impingement of tissue. When only a small cut-out is required to provide clearance for buttons or hooks on the buccal but also on the lingual of any tooth in the aligner, especially for smaller teeth. The Petite Punch can also be used to “nip away” plastic at the edge of aligners to provide relief from soft tissue impingement or irritation.