For dental professionals, keeping up with the latest composite innovations isn’t just a good idea – it’s a necessity.
If you want patients to leave your practice smiling brightly (and spreading the word about your amazing work!), pay close attention to the composites you choose.
In today’s competitive dental market, choosing the right composites goes beyond providing long-lasting functionality; it’s also about creating natural-looking, aesthetically pleasing restorations.
In this guide, we’ll explore the latest composite innovations available and when to use them to produce both durable and visually stunning results.
When comparing composite fillings to traditional amalgam fillings, composite materials offer several advantages. Here’s why:
With patients increasingly demanding those perfect, Instagram-worthy smiles, choosing the right composites has never been more important.
Anterior restorations target the visible front teeth, so getting these right is key to a patient’s confidence and overall appearance.
A study conducted by the DDU (Dental Defence Union) in 2022 found that a whopping 67% of patient dissatisfaction cases were due to unsatisfactory composite bonding outcomes. Issues such as discolouration and uneven appearance were the main culprits.
To nail that natural look, you need materials that can do more than just fill gaps. You need composites that can mimic the translucency, colour, and texture of real teeth.
On the flip side, posterior composite restorations require a different approach. You need a composite that can stand up to the daily grind (quite literally!) of chewing and biting, so strength and durability take top priority.
The level of expectation has also risen for posterior restorations. Any hiccups – like frequent recalls – can massively reduce patient satisfaction and trust. Now, patients anticipate back teeth restorations to last for many years.
In fact, Elaine Mo, associate dentist at Square Mile Dental Centre, recently highlighted that one of the most important aspects of a functional composite includes durability, with long-lasting restorations being a top priority on her wish list.
But here’s the kicker: aesthetics still matter.
Yes, even for those hidden back teeth.
It’s no longer just about longevity with posterior restorations, it’s about delivering restorations that are both durable and aesthetically pleasing, hence the rise in popularity of universal composites.
With a wide array of restorative composites on the market, understanding the optimal use cases for each is essential. To help you make an informed decision about which composites best suit the needs of your dental practice, here is an overview of the various types you can expect to find:
Macro-fill composites – the first composites to be introduced to the market. Known for their large particles, these early materials provided excellent strength, but left much to be desired in the aesthetics department.
While you don’t see macro-fill composites being used much today, they offer a glimpse into the challenges dentists once faced and the subsequent innovations that transformed dental restoration. You may even come across old macro-fill restorations in some of your patients today!
Micro-filled composites – contain very small particles, offering high polishability but less strength. Ideal for anterior restorations where a smooth, shiny finish is desired, but not recommended for high-stress areas due to their low durability.
Nano-filled composites – contain nano-sized particles that form together to create nano clusters, which function as larger particles providing excellent polishability and aesthetics.
Compared to micro-filled composites, they provide better overall performance as they are suitable for both anterior and posterior restorations and ensure a natural-looking finish with great wear resistance.
Hybrid composites contain a blend of smaller and larger particles and were created to combine the strength of macro-fill composites with the polishability of micro-fill composites. This winning combination makes hybrid composites a top choice for a variety of clinical situations.
In recent years, the use of hybrid composites has surged, and it’s easy to see why. As universal composites, they offer an outstanding balance of aesthetics, durability, and ease of use for both anterior and posterior restorations, making them a go-to choice for dental professionals.
Micro-hybrid composites – versatile and can be used for both anterior and posterior restorations. Combine a mixture of fine and larger particles for good strength and polishability.
Nano-hybrid composites – provide superior polishing and a smoother surface compared to micro-hybrids, making them ideal for anterior restorations where aesthetics are a priority. Combine nano particles with larger filler particles offering a balance of strength, aesthetics, and polishability.
A flowable composite has a thinner consistency compared to traditional composites. They flow easily into small or more difficult-to-reach areas within the tooth.
Their lower viscosity makes them ideal for applications requiring precise adaptation to cavity walls, such as small class III and class V cavities, fissure sealing, and serving as liners for deeper restorations.
Bulk fill composites are designed for speed and efficiency by cutting down on the layering process. They are ideal for deeper cavities, as thicker increments of up to 4-5mm can be placed, saving time during procedures.
Ormocer composites – made from organically modified ceramics, providing good biocompatability and reduced polymerisation shrinkage.
Nano-ceramic composites – contain nano-ceramic particles for better strength and wear resistance.
Giomer composites – ideal for restorations in patients prone to caries or those with challenging oral hygiene areas, as they release fluoride and possess antibacterial properties.
Bioactive composites – release ions such as calcium phosphate and fluoride, providing minerals to help protect against secondary caries.
CAD/CAM composites – designed for use with computer systems and ensure a precise fit in restorations such as inlays, onlays, and crowns.
When it comes to choosing dental composites, the choices can seem endless and overwhelming.
With an array of options available, each with its own unique properties and benefits, it’s essential to know what to look for.
Whether you’re a fan of softer, moldable materials or you prefer the precision of harder, sculptable options, finding the right fit is crucial.
Here is a breakdown of what you need to consider when choosing the right composite material:
With various types of composites available, each ideal for different procedures, the key is choosing the right composite for the job.
You’ll need to assess the procedures your practice typically carries out and which types of composites you will need to best fulfil your offering.
Achieving patient satisfaction hinges on the aesthetic appeal of your restorations. Opt for composites that offer precise colour matching, translucency, and polishability to ensure your patients’ smiles are as natural as possible.
Assess the composite’s ability to withstand wear and tear and its performance under everyday pressures.
According to Dr Mo, dentists are starting to see their composite restorations lasting more than 20 years. Thanks to the innovations in composite materials, this is now the industry target when it comes to recalls.
Personal preference
Each product will have its own unique properties and consistency. Choose the composite that you find easiest to work with and that yields the best results for you.
For example, some composites are stickier and require a different technique, while others are smoother and easier to manipulate. Knowing how each material behaves will help you choose the composite that best fits your style and needs.
Ease of use
Assess how straightforward the composite is to apply and handle during procedures. This can significantly affect how efficient you are during procedures.
Curing time
Consider the required curing time and depth of your chosen composite. Faster curing composites can speed up the process, which is a huge benefit in a busy practice. However, longer curing times might offer more working time for more delicate restorations.
Cost
Balance cost with quality. While high-quality materials may come with a more hefty price tag, they often offer better results and patient satisfaction.
Brand reputation
Always select composites from reputable, trusted brands within the dental industry to ensure high product quality and reliability.
On this note, we have curated a list of some of our favourite composite materials, highlighting key features, innovations, and indications.
Manufacturer: Coltene
Type: Universal submicron hybrid composite
Indications: Anterior and posterior restorations
As a universal submicron hybrid, Brilliant EverGlow stands out for its easy sculptability and form stability, excellent polishability, and long-lasting high lustre. Its advanced filler solution exhibits a smooth surface with a satin shine immediately after the filling is placed. It also features an advanced shade system, providing three levels of translucency and enhanced duo shades, allowing for versatile applications in both single-shade and multi-shade restorations.
Key features:
Manufacturer: Dental Sky
Type: Light-curing nanohybrid resin composite
Indications: Anterior and posterior restorations; class I to V restorations; blocking out undercuts; splinting.
R&S Nanofil+ Composite is a light-curing nanohybrid resin composite that is ideal for anterior and posterior restorations. The aesthetic finish and excellent radiopacity coupled with its high compressive strength makes it the perfect choice for any class I to V restoration or splinting mobile teeth.
Key features:
Manufacturer: Dentsply Sirona
Type: Nano-ceramic universal composite
Indications: Anterior and posterior restorations; class I to V cavities; direct and indirect restorations.
Ceram.x Spectra ST is a nano-ceramic, light cured, radiopaque universal composite offering tailored handling options in high and low viscosities to suit your placement preferences and techniques. Featuring SphereTEC filler technology, it simplifies shade matching with its chameleon blending ability.
Key features:
Manufacturer: GC
Type: Universal light-cured radiopaque composite
Indications: Anterior and posterior restorations; class I to V cavities; direct restorations; aesthetically demanding restorations.
G-ænial A’CHORD is a universal composite that combines simplicity, aesthetics, and advanced technology. Its simplified unishade system achieves the aesthetic quality of 16 VITA shades with just five core shades. Natural fluorescence and GC’s proprietary technologies make for invisible restorations with high strength, low wear, excellent gloss retention, stain resistance, and superior radiopacity.
Key features:
Manufacturer: GC
Type: Light-cured composite.
Indications: Anterior and posterior restorations.
This light-cured Gradia Direct composite from GC, designed to create long-lasting and natural-looking anterior and posterior restorations. It’s chameleon effect shade system with translucent and opaque options enables you to deliver highly aesthetic results.
Key features:
Manufacturer: Ivoclar
Type: Sculptable nano-hybrid universal composite
Indications: Class III and IV anterior restorations; class I and II posterior restorations; class V restorations; veneers; splinting of teeth; extended fissure sealing in molars and pre molars.
Ivoclar’s Tetric EvoCeram is a light-curing, radiopaque universal composite, offering a universal application and the ability to be layered up to 2mm thick, making it ideal for long-lasting anterior and posterior restorations.
Key features
Manufacturer: Ivoclar
Type: Light-curing nano-hybrid composite
Indications: Class III and V anterior restorations; class I and II posterior restorations; cervical restorations; direct veneers.
IPS Empress Direct is a light-curing nano-hybrid composite designed with aesthetics in mind. It excellently mimics the appearance of natural teeth and is ideal for direct restorations in the anterior and posterior regions.
Key features:
Manufacturer: Kerr
Type: Universal nanohybrid composite
Indications: Anterior and posterior restorations.
Kerr’s Herculite XRV Ultra utilises nanofiller technology for restorations that are wear resistant and highly polishable. The composites improved handling allows you to deliver aesthetic, lifelike restorations that replicates the natural tooth.
Key features:
Manufacturer: Kerr
Type: Simplified universal composite
Indications: Anterior and posterior restorations; class I to V cavities.
SimpliShade universal composite is designed to simplify shade selection with only three universal shades. This added simplicity creates life-like aesthetics and long-lasting performance making beautifully strong restorations easier than ever.
Key features:
Manufacturer: Kerr
Type: Universal composite
Indications: Anterior and posterior restorations; class I to V cavities.
Harmonize features Adaptive Response Technology (ART), a nanofiller network designed to simplify the creation of natural-looking restorations.
ART enhances blending capabilities and improves structural integrity, resulting in restorations that are both strong and aesthetically pleasing.
Key features:
Manufactuer: Kettenbach
Type: Nano-hybrid composite
Indications: Class I to VI cavities; core build-up under crowns; composite inlays, aesthetic shape correction.
Kettenbach’s Visalys Fill is a radiopaque nano-hybrid composite which can be easily modelled for all class I to VI cavities. The composite’s stability, polishability, and specially developed flex shade system enables you to create restorations that blend perfectly with the original tooth.
Key features:
Manufacturer: Kulzer
Type: Universal nano-hybrid composite
Indications: Class I to V cavities; restorations of primary teeth; shape shade corrections; splinting of teeth; repairs of porcelain and composite; direct composite veneers; core build-up.
Venus Diamond is a nano-hybrid universal composite that combines low shrinkage with high strength. It offers a firm consistency for easy modelling and a comfortable user experience, making direct restorations simpler and more efficient.
Key features:
Manufacturer: Kulzer
Type: Universal nano-hybrid composite
Indications: Class I to V cavities; restorations of primary teeth; shape shade corrections; splinting of teeth; repairs of porcelain and composite; direct composite veneers; core build-up.
Venus Pearl is a nano-hybrid composite known for its creamy consistency and ease of use while maintaining the excellent physical properties of Venus Diamond. It delivers a soft consistency during modelling and has an adapted filler system for greater malleability.
Key features
Manufacturer: SDI
Type: Universal composite
Indications: Anterior and posterior restorations.
Luna 2 is the latest addition to SDI’s universal composite series. It features an advanced blend of fillers for improved handling, high radiopacity and dependable mechanical properties.
Key features:
Manufacturer: Solventum
Type: Universal nanocomposite
Indications: Direct anterior and posterior restorations; class I to V cavities; Indirect restorations including inlays, onlays, and veneers; minimally invasive procedures.
Using innovative TRUE nano technology, Filtek Supreme XTE is a versatile nanocomposite known for its high performance. It provides excellent aesthetics for anterior restorations while being strong enough for posterior restorations.
Key features:
Manufacturer: Solventum
Type: Universal nanocomposite
Indications: Direct anterior and posterior restorations; indirect anterior and posterior restorations; core build-up.
Filtek Z500 from Solventum utilises nanotechnology to meet all of your restorative needs. Using this composite, you’ll create high gloss restorations with low levels of wear and tear.
Key features:
Manufacturer: VOCO
Type: Universal nano-hybrid ormocer-based composite
Indications: Class I to V restorations; base in class I and II cavities; reconstruction of traumatically damaged anteriors; faceting of discoloured anteriors; correction of shape and shade for improved aesthetic appearance; locking, splinting of loose teeth; repairing veneers, small enamel defects; extended fissure sealing; restoration of deciduous teeth; core build-ups; composite inlays.
Admira Fusion 5 is the world’s first purely ormocer-based restorative. It offers outstanding bio-compatibility and a natural, tooth-like aesthetic.
Key features:
Manufacturer: Coltene
Type: Flowable submicron hybrid composite
Indications: Filling of small cavities; class III to V restorations; extended fissure sealings; cavity linings.
BRILLIANT Everglow Flow uses the same filler technology as BRILLIANT Everglow, making it the ideal complement. Its finely tuned thixotropy gives it a low viscosity with excellent stability.
Key features:
Manufacturer: GC
Type: Universal light-cured radiopaque injectable composite
Indications: Anterior and posterior restorations; class I to V cavities.
G-ænial Universal Injectable boasts a finely dispersed particle formula for strong, long-lasting restorations that stay glossy over time. It’s easy to shape and ensures minimal porosity and air bubbles for precise cavity adaptation.
Key features:
Manufacturer: Kettenbach
Type: Flowable nano-hybrid composite
Indications: Filling minimally invasive cavities in all classes; repairing defective fillings; luting translucent prosthetic pieces; aesthetic shape correction.
Visalys Flow is a flowable nano-hybrid filling composite which can be used for all small class I to VI fillings. The composite blends flow behaviour and stability, as well as showing very good wettability and adaptation to cavity walls.
Key features:
Manufacturer: Kulzer
Type: Flowable nano-hybrid composite
Indications: Minimally invasive restorations; class V restorations.
Venus Diamond Flow makes the placement of minimally invasive restorations easier with its flowable, thixotropic consistency that adapts to the surrounding hard tooth structure. Its excellent polishability and enduring lustre ensure long-lasting, aesthetically pleasing restorations.
Key features:
Manufacturer: SDI
Type: Versatile nano-filled composite system
Indications: Class V restorations; minimally invasive class I to IV restorations.
SDI Wave is a versatile universal nano-filled composite renowned for its exceptional handling and aesthetic outcomes. Available in multiple viscosities – Wave, Wave MV, and Wave HV, it caters to various clinical needs, from precise detailing to bulk filling. With its innovative filler technology, it ensures optimal strength and wear resistance, while delivering excellent polishability for natural-looking restorations.
Key features:
Manufacturer: VOCO
Type: Flowable nano-hybrid ormocer-based composite
Indications: Filling of small cavities and extended fissure sealing; blocking out undercuts; lining or coating cavities; fillings of class III to V cavities; repairing fillings, veneers, and temporary restorations; luting translucent prosthetic pieces; locking and splinting of loose teeth.
Admira Fusion Flow is a flowable ormocer-based composite ideal for minimally invasive restorations and as a liner or base material. It combines excellent flow properties with the same high biocompatibility and aesthetics as Admira Fusion.
Key features:
Manufacturer: DMG
Type: Bulk fill nano-hybrid composite
Indications: Posterior fillings class I and II; class V restorations; core build-ups; fillings in deciduous teeth; extended fissure sealing of molars and pre molars.
Ecosite’s innovative filling technology enables an exceptional homogenous distribution of the finest fillers. As a nano-hybrid bulk fill composite, it provides many of the benefits of a traditional composite, while allowing for up to 5mm depth of cure. It also has excellent polishability for a high gloss finish.
Key features:
Manufacturer: Dentsply Sirona
Type: Bulk fill flowable composite
Indications: Class I to V posterior restorations; post-endodontic treatment; primary posterior dentition; pit and fissure sealing; core build-ups.
SDR Flow+ is a bulk fill flowable composite designed to allow placement in 4mm increments with minimal polymerisation stress. It offers excellent self-levelling properties and high radiopacity, making it ideal for efficient and reliable posterior restorations.
Key features:
Manufacturer: Kerr
Type: Simplified bulk fill composite
Indications: Class I to V restorations; direct placement of anterior and posterior restorations; core build-ups; restoration repair.
SimpliShade Bulk Fill saves time and streamlines your restoration workflow by using a single shade to match all 16 VITA shades and eliminating the need for a capping layer. Its enhanced curing system enables polymerisation depths of up to 5mm.
Key features:
Manufacturer: Solventum
Type: Bulk fill composite
Indications: Posterior restorations (class I to V).
Solventum’s Filtek One Bulk Fill has been designed to help you create posterior restorations that are faster and easier to complete. This bulk fill restorative composite has innovative optical properties and improved opacity, allowing you to benefit from the simplicity of one-step placement without impacting the aesthetic outcome.
Key features:
Manufacturer: VOCO
Type: Thermo-viscous bulk fill composite
Indications: Class I and II posterior restorations; base in class I and II cavities; class V restorations; locking and splinting loose teeth; repairing veneers, enamel defects, and temporary C&B materials; extended fissure sealing; restoration of deciduous teeth; core build-up.
VisCalor Bulk combines the viscosities of a flowable and packable composite with innovative thermo-viscous technology that allows the material to be heated before application. This process makes it initially flowable for easy placement and excellent cavity adaptation, then it quickly cools to become sculptable for precise contouring.
Key features:
Investing in quality composites is an investment in your practice. It means happier patients, fewer follow-up visits, and longer-lasting results.
Nanotechnology and other innovative formulations have revolutionised our options, giving us composites that are stronger, more beautiful, and easier to work with than ever before.
For those stunning anterior restorations, go for composites with top-notch polishability and aesthetics. For those demanding posterior restorations, prioritise high compressive strength and wear resistance.
But remember, modern dentistry demands a more holistic approach.
When it comes to dental restorations, considering aesthetics and durability is now non-negotiable for all types of restorations.
Luckily, universal composites cover most bases in this aspect, but it’s always wise to have other options in your back pocket for more specialist cases – think bulk fill and flowable composites.
Patients deserve the best of both worlds, and any compromise in either area can lead to costly recalls and reduced patient satisfaction.
After all, happy patients are your best advocates!
For more information on the above range of composites please visit Dental Sky’s Dental Composite Restoratives section or for further reading on composites, why not have a look at Professor Avijit Banerjee’s article on Dental Resin Composites And Their Role In Minimally Invasive Operative Dentistry?