{"id":457,"date":"2014-06-06T16:46:30","date_gmt":"2014-06-06T16:46:30","guid":{"rendered":"http:\/\/summitdentalcareelgin.com\/?page_id=457"},"modified":"2015-08-20T03:45:35","modified_gmt":"2015-08-20T03:45:35","slug":"dentures","status":"publish","type":"page","link":"https:\/\/summitdentalcareelgin.com\/sdce\/dentures\/","title":{"rendered":"dentures solutions"},"content":{"rendered":"<p>[et_pb_section fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221; background_color=&#8221;#ffffff&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;on&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;fullwidthslider&#8221; transparent_background=&#8221;off&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; show_arrows=&#8221;on&#8221; show_pagination=&#8221;on&#8221; auto=&#8221;on&#8221; parallax=&#8221;off&#8221; module_id=&#8221;slides&#8221; parallax_method=&#8221;off&#8221;] [et_pb_slide background_image=&#8221;https:\/\/www.summitdentalcareelgin.com\/sdce\/wp-content\/uploads\/2014\/06\/dentures-summit-dental-elgin.jpg&#8221; background_color=&#8221;#ffffff&#8221; alignment=&#8221;center&#8221; background_layout=&#8221;light&#8221; image_alt=&#8221;dentures &#8211; older women and man&#8221;]<\/p>\n<div id=\"mfbox\">\n<h1 class=\"text3\">WE HAVE AN AFFORDABLE PLAN TO HELP YOU GET YOUR DENTURES. \u00a0EVERYONE NEEDS TEETH, SO WE&#8217;LL HELP YOU GET&#8217;EM.<\/h1>\n<\/div>\n<p>[\/et_pb_slide] [\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; background_color=&#8221;#e8e8e8&#8243; inner_shadow=&#8221;off&#8221; parallax=&#8221;on&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;services-mbox&#8221; transparent_background=&#8221;on&#8221; allow_player_pause=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; 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class=\"gform_title\">Emergency Appointment<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/sdce\/wp-json\/wp\/v2\/pages\/457#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_12\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Comments<\/label><div class='ginput_container'><input name='input_12' id='input_3_12' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_12'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_3_1\" 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id='input_3_7' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_7_1_container' >\n                                        <input type='text' name='input_7.1' id='input_3_7_1' value=''    aria-required='false'    \/>\n                                        <label for='input_3_7_1' id='input_3_7_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_7_3_container' >\n                                    <input type='text' name='input_7.3' id='input_3_7_3' value=''    aria-required='false'    \/>\n                                    <label for='input_3_7_3' id='input_3_7_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_7_4_container' >\n                                        <input type='text' name='input_7.4' id='input_3_7_4' value=''      aria-required='false'    \/>\n                                        <label for='input_3_7_4' id='input_3_7_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_7_5_container' >\n                                    <input type='text' name='input_7.5' id='input_3_7_5' value=''    aria-required='false'    \/>\n                                    <label for='input_3_7_5' id='input_3_7_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_7.6' id='input_3_7_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>What is this dental emergency regarding<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_3_3' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Root Canal' >Root Canal<\/option><option value='Dental Implants' >Dental Implants<\/option><option value='Dental Fillings' >Dental Fillings<\/option><option value='Dentures' >Dentures<\/option><option value='Dental Crowns and Bridges' >Dental Crowns and Bridges<\/option><option value='Dental Veneers' >Dental 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gform-field-label--type-sub minute_label screen-reader-text' for='input_3_6_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_6[]' id='input_3_6_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_3_6_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Comments, Questions, or Conserns Welcome<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_3_4' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Get Special Offers<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_11'>\n\t\t\t<li class='gchoice gchoice_3_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='yes'  id='choice_3_11_0'    \/>\n\t\t\t\t<label for='choice_3_11_0' id='label_3_11_0' 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If you are considering any future dental work this is the best option for you.<\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'>Are you a robot or not! 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is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_3').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_3').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_3').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_3').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_3').val();gformInitSpinner( 3, 'https:\/\/summitdentalcareelgin.com\/sdce\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [3, current_page]);window['gf_submitting_3'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_3').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_3').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [3]);window['gf_submitting_3'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_3').text());}else{jQuery('#gform_3').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"3\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_3\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_3\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_3\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 3, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n [\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Denture Message&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; module_id=&#8221;h-tabs&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h1 style=\"text-align: center;\">DENTURES THAT FIT<\/h1>\n<h2>Dentures<\/h2>\n<p>A denture is the traditional method of replacing missing teeth. Any adult between the ages of 20 to 65 statistically will lose at least three teeth. For some this may not be a problem but for others there are plenty of reasons to do something about it. Missing teeth always affect the way we speak, the way we eat and even the way we participate in the various activities that we love. One of the options provided to remedy these effects are the dentures.<\/p>\n<h2><strong>What are the dentures?<\/strong><\/h2>\n<p>In simple terms a denture is a way to replace any number of missing teeth above three, along with the surrounding tissues. They are supported by the tissues of the oral cavity and they can be either partial or complete, removable or fixed.<\/p>\n<p>Removable and partial dentures are recommended for cases that miss just some of their teeth or teeth on a certain arch of the oral cavity. They are less costly than other options but also less stable.<\/p>\n<p>On the other hand fixed partial dentures are more stable, are made from materials similar to the missing teeth and are made from crowns that are fitted on the teeth that are remaining in the mouth. However, they can be significantly more expensive than the removable ones.<\/p>\n<p>For patients that are missing the entire set of their teeth either in the upper or on the lower arch of the oral cavity, the recommendation will go for a complete denture.<\/p>\n<p>Another kind of denture that is quickly gaining support is the flexible partials. The cost may be greater than the other options described here but the process is completely non-invasive, the restoration is based in the advancements made in the field of the related digital technology and it is considered as a virtually invisible way of replacing teeth. Furthermore, it is a far more comfortable option than any other available.<\/p>\n<h2><strong>How is a denture made?<\/strong><\/h2>\n<p>The first thing that a doctor needs to do is take a dental impression of the oral cavity. Based on this impression there will be a stone model made to represent the patient\u2019s mouth.\u00a0 This first model will create the custom impression tray which will then be used to acquire another impression of the mouth which will be of much greater detail and accuracy. The last measurement to be taken is the bite registration which will tell the dentist the relative position between the upper and lower teeth arches when the mouth is closed.<\/p>\n<p>A first denture is made of wax rim and fitted in. This is a most critical stage as it is the one were all the adjustments will be made so that the eating process is satisfactory, any changes in speech are rectified and the patients feel comfortable. The wax denture is taken into the lab where through a rather complicated process it will form the final denture. The final denture will be inserted into the mouth depending on the option for a partial or a custom, a removable or a fixed denture, made by the patient.<\/p>\n<h2><strong>Possible and expected issues<\/strong><\/h2>\n<p>After a denture has been installed, for the first 12 to 24 hours the mouth will excrete more saliva than usual as the denture is perceived by the brain as \u201cfood\u201d. It may sound like a joke, but it is not. The brain\u2019s perception of the mouth is that whatever foreign substance is in there is food.<\/p>\n<h3>Other anticipated conditions may include:<\/h3>\n<ul>\n<li>Sore spots wherever the denture is compressing the soft tissues. This is taken care of by adjustments to the denture.<\/li>\n<\/ul>\n<ul>\n<li>A denture that is too loose or too tight may also produce gagging which is appropriately corrected.<\/li>\n<\/ul>\n<ul>\n<li>The most common problem that may arise is the loss of taste sensations especially in the case of complete dentures. This is an unfortunate side effect that comprises one of the disadvantages of dentures.<\/li>\n<\/ul>\n<ul>\n<li>If there is accumulation of dental plaque, it is possible to develop a gingivitis infection. This is why it is most important to make sure that every other condition in the mouth is corrected prior to any teeth replacement option.<\/li>\n<\/ul>\n<ul>\n<li>The worse problem that can occur is the adverse psychology of the patient. It is a fact that some patients refuse to accept the denture in their mouths. It has nothing to do with the materials, it has nothing to do with the mouth\u2019s tolerances and it has nothing to do with allergic reactions. It is a purely psychological issue and the dentist can do very little about it as it is beyond his control. If such a case arises then another solution may be appropriate.<\/li>\n<\/ul>\n<h2><strong>Support, care and time frames<\/strong><\/h2>\n<p>Replacing the teeth with artificial ones does not mean that the patient will stop practicing proper oral hygiene. Daily cleaning is in order. Dentures should be taken out of the mouth during sleeping to provide the tissues with time to recover.<\/p>\n<p>A good denture may last for up to 5 years. Afterwards there are ways to extend the lifetime of the denture by refilling and repositioning. Inevitably at some point, new dentures will have to be constructed based on the new parameters developed inside the mouth.<\/p>\n<p>If you have some teeth missing and you need to replace them for whatever reason, but do not wish to go for another of the available options, please feel free to call us or send us a message. Our staff will set up and appointment to evaluate the situation and provide you with all the available options and all the pertinent information about your specific case. You can make an informed decision that will allow us to do what we do best. Bring your teeth back where they should be.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_accordion admin_label=&#8221;Accordion&#8221;] [et_pb_accordion_item title=&#8221;Coupon&#8221;]<\/p>\n<p style=\"text-align: center;\"><a title=\"Denture Dental Coupons Available Upon Request\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1113\" src=\"https:\/\/www.summitdentalcareelgin.com\/sdce\/wp-content\/uploads\/2014\/06\/49-dollars-off-dental-exams-xrays.jpg\" alt=\"49 dollar dental exams and xrays\" width=\"300\" height=\"150\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><a class=\"et_pb_promo_button\" href=\"https:\/\/www.summitdentalcareelgin.com\/sdce\/dental-offer\/\">See More <strong>Discounts<\/strong><\/a><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Contact Us&#8221;]\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' ><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/sdce\/wp-json\/wp\/v2\/pages\/457' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_8\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>URL<\/label><div class='ginput_container'><input name='input_8' id='input_1_8' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_8'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            <span id='input_1_1_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_1_1_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_1_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>What is your contact request?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_1_3' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='General Question?' >General Question?<\/option><option value='Dental Cleaning' >Dental Cleaning<\/option><option value='Invisalign (Clear Braces)' >Invisalign (Clear Braces)<\/option><option value='Root Canal' >Root Canal<\/option><option value='Dental Implants' >Dental Implants<\/option><option value='Dental Fillings' >Dental Fillings<\/option><option value='Dental Emergencies' >Dental Emergencies<\/option><option value='Dentures' >Dentures<\/option><option value='Dental Crowns and Bridges' >Dental Crowns and Bridges<\/option><option value='Pediatric Dentistry' >Pediatric Dentistry<\/option><option value='Dental Veneers' >Dental Veneers<\/option><\/select><\/div><\/li><li id=\"field_1_4\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>Comment\/Question<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_1_4' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Subcribe<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_6'>\n\t\t\t<li class='gchoice gchoice_1_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='yes'  id='choice_1_6_0'    \/>\n\t\t\t\t<label for='choice_1_6_0' id='label_1_6_0' class='gform-field-label gform-field-label--type-inline'>yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='no'  id='choice_1_6_1'    \/>\n\t\t\t\t<label for='choice_1_6_1' id='label_1_6_1' class='gform-field-label gform-field-label--type-inline'>no<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_1_6'>We won't annoy you promise!  We send special discounts to our long term patient subscribers.  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