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Abstract The biofilm accumulation over the composite resin restorations can contribute to the formation of secondary caries. In this way, antibacterial restorative composite resins are highly desired. Then, the purpose of this study was to modify a composite resins using Ag doped ZnO nanoparticles (NPs), evaluate the antibacterial and mechanical properties of the modified composite resin. The ZnO/AgNPs were synthesized by two different routes, polymeric precursor and coprecipitation methods, and characterized by thermal decomposition, X-ray diffraction, specific surface area by N 2 desorption/desorption and scanning electron microscopy (SEM). Antibacterial activity of composite resin specimens (4 mm in height and 2 mm in diameter; n = 15) modified by ZnO/Ag nanoparticles was performed against 7-days Streptococcus mutans biofilm. Colony forming units (CFU/mL) were used to evaluate the bacterial activity. Additionally, the morphology and the bacteria adherence area were analyzed by SEM images. Cylindrical specimens (6 mm in height and 4 mm in diameter; n = 20) of the composite resin containing ZnO/Ag NPs were prepared to perform compressive strength in a universal mechanical test machine, and the surface of fractured specimens was analyzed by EDX element mapping to verify NPs homogeneity. The normal distribution was confirmed and the two-way analysis of variance (ANOVA) and Tukey's test for pair comparison were performed. The nanospheres of ZnO/Ag lead to a better biofilm inhibition, than nanoplates. No difference on compressive strength was found for the composite resin modified by ZnO/Ag nanoplates. Based on these results, this material could be a good option as a new restorative material. Highlights • ZnO micro and nanoparticles with antimicrobial properties were satisfactorily synthetized by the different routes. • The composite resin containing ZnO particles significantly inhibit the S. mutans biofilm. • The compressive strength of the composite resin containing Ag/ZnO nanoplates did not drastically changed. [ABSTRACT FROM AUTHOR]

Highlights • The modification of the composite resin using pure and Ag decorated TiO 2 can decrease S. mutans biofilm formation over the composite resin surface. • The properties of the modified composite resin did not change after the modification with TiO 2 /Ag (PREC POL). • The TiO 2 /Ag nanospheres obtained by polymeric precursor synthesis seems to be the best nanomaterial. Abstract Objective The aim of this study was to evaluate the antibacterial activity of a composite resin modified by TiO 2 and TiO 2 /Ag nanoparticles and their influence over different properties. Methods TiO 2 and TiO 2 /Ag NPs were synthesized by polymeric precursor and microwave-assisted hydrothermal methods and then, characterized by different techniques. Direct contact test was performed using Filtek™ Z350XT blended with 0.5; 1 and 2% (wt.) of NPs against Streptococcus mutans to determine the best concentration to the other tests. After that, the modified composite resin was tested against S. mutans 7-day biofilm (CFU/mL). Also, compressive and diametral tensile strength (n = 40), degree of conversion (n = 25) and surface roughness (n = 50) was performed. The data were analyzed by ANOVA and Tukey's test for multiple comparison at 5% significance level. Results The direct contact test demonstrates that by increasing the nanoparticle content, the bacterial growth is significantly reduceed (p < 0.05). The inclusion of 2% of TiO 2 /Ag NPs significantly decreased (p < 0.05) the biofilm accumulation of S. mutans on the composite resin surface compared to the control Group. The TiO 2 NPs treated with an organosilane increased compressive strength of composite resin (p < 0.05). Degree of conversion remained unchanged (p > 0.05) and the surface roughness increased with the NPs (p < 0.05), except for the TiO 2 by polymeric precursor Group (p > 0.05). Significance The development of an antibacterial dental restorative material that hinder S. mutans biofilm without sacrificing the mechanical and physical properties is desirable in dental material science. [ABSTRACT FROM AUTHOR]