Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties

Background: Nanocomposite resins became promising materials in restorative dentistry due to the application of nanotechnology to improve durability and microbial resistance characteristics. This systematic review aimed to review the mechanical performance and antimicrobial efficacy of nanocomposite...

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Main Authors: Muhammad Saleem Qureshi, Khadija Akhtar, Farah Tasleem, Permanand, Maleeha Khurram, Ayesha Imtiaz, Muhammad Hussain
Format: Article
Language:English
Published: ziauddin University 2025-04-01
Series:Pakistan Journal of Medicine and Dentistry
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Online Access:https://ojs.zu.edu.pk/pjmd/article/view/3418
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author Muhammad Saleem Qureshi
Khadija Akhtar
Farah Tasleem
Permanand
Maleeha Khurram
Ayesha Imtiaz
Muhammad Hussain
author_facet Muhammad Saleem Qureshi
Khadija Akhtar
Farah Tasleem
Permanand
Maleeha Khurram
Ayesha Imtiaz
Muhammad Hussain
author_sort Muhammad Saleem Qureshi
collection DOAJ
description Background: Nanocomposite resins became promising materials in restorative dentistry due to the application of nanotechnology to improve durability and microbial resistance characteristics. This systematic review aimed to review the mechanical performance and antimicrobial efficacy of nanocomposite resins. Methods: A total of 93 studies were identified through a comprehensive database search including PubMed, Scopus, Web of Science, and Cochrane Library. Studies were included if they evaluated the nanomaterials in dental composites, reported mechanical and antimicrobial properties, and utilized in vivo and in vitro experiments. Studies were excluded if they were reviews, commentaries, or conference papers and lacked quantitative data. Nanoparticles such as silver, zinc oxide, silica, and halloysite nanotubes were studied and outcomes were measured including flexural and compressive strength and antimicrobial activity against biofilms. The risk biases of studies were assessed using the Cochrane Risk of Bias tool. Results: A total of 15 studies were included in the systematic review table out of an initial pool of 93 studies further filtered down via the screening process. There were 6 in vitro, 5 experimental, and 1 hybrid study designs. Silver, zinc oxide, silica, and halloysite nanotubes were among those nanoparticles that were investigated Mechanical properties were seen to be improved significantly, with flexural strength increased by up to 74% and compressive strength increased by 50%. Bacterial reduction rates of >99% were observed for silver and zinc oxide nanoparticle-incorporated composites. The lack of long-term data and nanoparticle agglomeration were identified as drawbacks. Optimal nanoparticle concentration was observed to be needed to balance mechanical and antibacterial properties via subgroup analyses. Discussion: While these advancements were significant, some gaps must be addressed. The lack of information about long-term performance under simulated oral conditions and the lack of testing against multispecies biofilms remained. Future studies should aim to optimize the formulations and conduct clinical trials that could validate efficacy and safety. The use of nanocomposite resins was an innovative approach to restorative dentistry that had the potential to offer durable, antimicrobial restorations.
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issn 2313-7371
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publishDate 2025-04-01
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series Pakistan Journal of Medicine and Dentistry
spelling doaj-art-50d489ed2ef7451a8462e683cc81bc0b2025-08-20T03:06:35Zengziauddin UniversityPakistan Journal of Medicine and Dentistry2313-73712308-25932025-04-0114210.36283/ziun-pjmd14-2/060Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial PropertiesMuhammad Saleem Qureshi0Khadija Akhtar1Farah Tasleem2Permanand3Maleeha Khurram4Ayesha Imtiaz5Muhammad Hussain6Baqai Dental College,Baqai Medical University-Karachi, PakistanInstitute Of Dentistry, CMH Lahore Medical College, PakistanIsra University, Hyderabad, PakistanBhitai Dental and Medical college Mirpurkhas, PakistanUniversity Medical and Dental College Faisalabad, PakistanBaqai Medical University, Karachi, Pakistan.University of Florence ,Italy Background: Nanocomposite resins became promising materials in restorative dentistry due to the application of nanotechnology to improve durability and microbial resistance characteristics. This systematic review aimed to review the mechanical performance and antimicrobial efficacy of nanocomposite resins. Methods: A total of 93 studies were identified through a comprehensive database search including PubMed, Scopus, Web of Science, and Cochrane Library. Studies were included if they evaluated the nanomaterials in dental composites, reported mechanical and antimicrobial properties, and utilized in vivo and in vitro experiments. Studies were excluded if they were reviews, commentaries, or conference papers and lacked quantitative data. Nanoparticles such as silver, zinc oxide, silica, and halloysite nanotubes were studied and outcomes were measured including flexural and compressive strength and antimicrobial activity against biofilms. The risk biases of studies were assessed using the Cochrane Risk of Bias tool. Results: A total of 15 studies were included in the systematic review table out of an initial pool of 93 studies further filtered down via the screening process. There were 6 in vitro, 5 experimental, and 1 hybrid study designs. Silver, zinc oxide, silica, and halloysite nanotubes were among those nanoparticles that were investigated Mechanical properties were seen to be improved significantly, with flexural strength increased by up to 74% and compressive strength increased by 50%. Bacterial reduction rates of >99% were observed for silver and zinc oxide nanoparticle-incorporated composites. The lack of long-term data and nanoparticle agglomeration were identified as drawbacks. Optimal nanoparticle concentration was observed to be needed to balance mechanical and antibacterial properties via subgroup analyses. Discussion: While these advancements were significant, some gaps must be addressed. The lack of information about long-term performance under simulated oral conditions and the lack of testing against multispecies biofilms remained. Future studies should aim to optimize the formulations and conduct clinical trials that could validate efficacy and safety. The use of nanocomposite resins was an innovative approach to restorative dentistry that had the potential to offer durable, antimicrobial restorations. https://ojs.zu.edu.pk/pjmd/article/view/3418Antimicrobial EfficacyNanoparticles BiofilmDental Materials
spellingShingle Muhammad Saleem Qureshi
Khadija Akhtar
Farah Tasleem
Permanand
Maleeha Khurram
Ayesha Imtiaz
Muhammad Hussain
Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
Pakistan Journal of Medicine and Dentistry
Antimicrobial Efficacy
Nanoparticles
Biofilm
Dental Materials
title Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
title_full Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
title_fullStr Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
title_full_unstemmed Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
title_short Comparative Analysis and Systematic Review of Nanocomposite Resins in Restorative Dentistry: Durability and Antimicrobial Properties
title_sort comparative analysis and systematic review of nanocomposite resins in restorative dentistry durability and antimicrobial properties
topic Antimicrobial Efficacy
Nanoparticles
Biofilm
Dental Materials
url https://ojs.zu.edu.pk/pjmd/article/view/3418
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