Flush cut & hold distal end cutter cuts and holds wire distally flush to the buccal tube or bracket while reducing debondings. This cutter comes with 1 silicone insert already loaded in the working end with 2 extras included in the package. Replacement silicone inserts 678-011 can be re-ordered as needed. Hu-Friedy offers a 50% thinner version - 678-113.