Inorganic Fillers for Dental Resin Composites: Present and Future.

Dental resins represent an important family of biomaterials that have been evolving in response to the needs in biocompatibility and mechanical properties. They are composite materials consisting of mostly inorganic fillers and additives bound together with a polymer matrix. A large number of fillers in a variety of forms (spheroidal, fibrous, porous, etc.) along with other additives have been studied to enhance the performance of the composites. Silane derivatives are attached as coupling agents to the fillers to improve their interfacial properties. A review of the literature on dental composite fillers seems to suggest that each of the fillers tested presents its own strengths and weaknesses, and often combinations of these yield resin composites with the desired balance of properties. Additives such as nanotubes, whiskers, fibers, and nanoclusters have been shown to enhance the properties of these hybrid materials, and their use in small fractions may enhance the overall performance of the dental resin materials.