This study aimed to develop dental resin composites containing ZnO/SiO₂ ceramic particles as an antimicrobial filler for producing provisional dental restorations using the lithography-based liquid crystal display (LCD) 3D printing technique. Three types of dental resin-ceramic composites with different filler contents (0 wt%, 5 wt%, and 10 wt%) were prepared to offer high antimicrobial efficacy. Printing parameters, particularly off-time, were optimized for each composition to achieve high-quality prints. Mechanical testing demonstrated increased hardness and elastic modulus. In addition, the 10 vol% composite exhibited a three-point flexural strength of 113.4 MPa, exceeding the 100 MPa requirement specified in ISO 4049:2019 for provisional dental materials. Antimicrobial testing showed a significant reduction in Streptococcus mutans colonies, with up to 84.4% decrease for the 10 vol% composite compared to the unfilled resin. A provisional 3-unit bridge was successfully printed using the 10 vol% composite, demonstrating practical applicability.

This study aimed to develop an innovative resin composite with anti-biofouling properties, tailored to prosthesis fabrication in dentistry using a digital light processing (DLP) 3D-printing technique. The resin composite was formulated using a blend of dental monomers, with the integration of 2-methacryloyloxylethyl phosphorylcholine (MPC) with anti-biofouling behavior and γ-MPS-treated silica-zirconia powder for simultaneous mechanical reinforcement. The overall characterization of the resin composite was carried out using various contents of MPC incorporated into the resin (0–7 wt%) for examining the rheological behavior, photopolymerization, flexural strength/modulus, microstructure and anti-biofouling efficiency. The resin composite demonstrated a significant reduction in bacterial adhesion (97.4% for E. coli and 86.5% for S. aureus) and protein adsorption (reduced OD value from 1.3 ± 0.4 to 0.8 ± 0.2) with 7 wt% of MPC incorporation, without interfering with photopolymerization to demonstrate potential suitability for 3D printing without issues (p < 0.01, and p < 0.05, respectively). The incorporation and optimization of γ-MPS-treated silica-zirconia powder (10–40 vol%) enhanced mechanical properties, leading to a reasonable flexural strength (103.4 ± 6.1 MPa) and a flexural modulus (4.3 ± 0.4 GPa) at 30 vol% (n = 6). However, a further increase to 40 vol% resulted in a reduction in flexural strength and modulus; nevertheless, the results were above ISO 10477 standards for dental materials.