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This is the latest high strength glass ionomer restorative material with a unique formulation of polyacrylic acid and glass combination giving it great resistance to dehydration. Unlike other GIC formulations, the use of a varnish immediately after placement becomes unnecessary, and, the set restorative can be finished under water spray and the Chem-varnish need not be applied until after polishing is complete.

The physical properties of ChemFlex have been greatly improved including compressive strength and flexural strength that are significantly higher than light cured resin reinforced GIC such as Fuji II LC and Vitremer. The fluoride release rate is amongst the highest.

One of the most impressive aspects of ChemFlex is its resistance to dehydration. Figure 1 shows clearly that under identical experimental conditions of dehydration, cracks are clearly seen on the surface of Ketac Molar and Fiji IX while the surface of ChemFlex is unblemished. It is therefore highly resistant to staining from coffee, tea and red wine.

A clinical trial in Class V restorations in permanent teeth at the University of Hong Kong showed that not only are the restorations highly acceptable to all patients, significant benefits reported by patients were reduction of root sensitivity and much improved gingival health. Figure 2 A shows the deep Class V cavities on one of the patients and Figure 2B shows the very satisfactory aesthetics and function of these restorations.

ChemFlex is an ideal restorative for use in the ART technique. The twelve months' results of one study at the University of Hong Kong, done in collaboration with the Hubei Medical University in Wuhan, PRC showed that ChemFlex is a highly acceptable product. Figure 3 is the occlusal view of an ART restoration using ChemFlex in a lower first permanent molar after 6 months.

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