The PAT and it's component principles are crucial for dentistry. for example, being able to interpret a radiograph, understanding 3-D objects on a 2-D image, angle ranking when adjusting surgical guides for implant placement, Overall, understanding symmetry and spatial reasoning. Hole punching.. well that doesn't really have anything to do with dentistry, just your ability to mentally manipulate something. Some people have the "eye", others don't.. but they can acquire it with time usually. Seeing and manipulating line angles for example..