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Type Ivory-style punch (named after the Ivory Dental Mfg. Co.) Punch Mechanism Rotating hole-size selector wheel with multiple hole sizes for different tooth types (typically 5–6 sizes) Hole Sizes Ranges from 0.5 mm to 2.5 mm — from small incisors to large molars Punch Tip Sharp, precisely aligned stainless steel plunger for clean cuts Anvil Design Concave base (anvil) allows rubber dam sheet to sit securely during punching Handle Ergonomically contoured for comfort and grip during repeated use Material Made from high-grade stainless steel or chrome-plated brass for corrosion resistance Finish Polished or matte to reduce light reflection