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Certificate of Clean Teeth Maintaining regular dental check-ups is important during orthodontic care in order to help remove calculus, stains, and provide oral hygiene motivation. This acknowledges that Has successfully completed a dental cleaning at 's office Dr. Dentist or Dental Hygienist Date This signed certificate is good for five (5) Wooden Nickels in Dr. John Crawford's office. * Continue to see your Dentist or Hygienist every 6 months for a cleaning & examination during orthodontic treatment