This review aims to describe and critically analyze studies published over the past four years on the application of polymeric dental nanomaterials as antimicrobial materials in various fields of dentistry. Nanoparticles are promising antimicrobial additives to restoration materials. According to published data, composites based on silver nanoparticles, zinc(II), titanium(IV), magnesium(II), and copper(II) oxide nanoparticles, chitosan nanoparticles, calcium phosphate or fluoride nanoparticles, and nanodiamonds can be used in dental therapy and endodontics. Composites with nanoparticles of hydroxyapatite and bioactive glass proved to be of low efficiency for application in these fields. The materials applicable in orthodontics include nanodiamonds, silver nanoparticles, titanium(IV) and zinc(II) oxide nanoparticles, bioactive glass, and yttrium(III) fluoride nanoparticles. Composites of silver nanoparticles and zinc(II) oxide nanoparticles are used in periodontics, and nanodiamonds and silver, chitosan, and titanium(IV) oxide nanoparticles are employed in dental implantology and dental prosthetics. Composites based on titanium(IV) oxide can also be utilized in maxillofacial surgery to manufacture prostheses. Composites with copper(II) oxide nanoparticles and halloysite nanotubes are promising materials in the field of denture prosthetics. Composites with calcium(II) fluoride or phosphate nanoparticles can be used in therapeutic dentistry for tooth restoration.

A silver-containing gel based on polyvinyl alcohol and aryloxycyclotriphosphazene containing β-carboxyethenylphenoxy and p-formylphenoxy groups has been developed. Phosphazene was synthesized via the Doebner reaction from hexakis[(4-formyl)phenoxy]cyclotriphosphazene and malonic acid and characterized by ¹H, ¹³C, and ³¹P NMR spectroscopy and MALDI-TOF mass spectrometry. The study of the gel using scanning electron microscopy showed that the gel contains open pores and can absorb wound exudate. The maximum water absorption capacity of the gel was 272%, which was reached after 80 min of testing. The antimicrobial activity of the obtained silver-containing gel was evaluated using the diffusion method. The gel was found to inhibit the growth of the main microorganisms in contact with the skin: the bacteria S. aureus, P. aeruginosa, E. coli, B. subtilis, S. epidermidis, and C. stationis and the fungus C. albicans. The study of the wound-healing effect of the gel in vivo showed a decrease in the wound area of the rabbit hind limb by 91.43% (p < 0.05) on the 10th day of observation and a decrease in the content of C-reactive protein in the rabbit blood serum by 1.3 times (p < 0.05).

The development of dental restorative materials with improved physical and mechanical properties is an important area of research. In this study, hexaallylaminocyclotriphosphazene (HAP) was used to modify dental composites. HAP is a compound with multiple carbon-carbon bonds that can react with methacrylic resins to form a copolymer. HAP was synthesized by reacting allylamine with hexachlorocyclotriphosphazene and characterized it using ¹H and ³¹P NMR spectroscopy and MALDI-TOF mass spectrometry. Molecular dynamics simulations using the MM2 force field showed that HAP has a nanosize (the diameter of a sphere eclosing the molecule is 1.3 nm), making it a suitable nanomodifier for dental composites. Using 3D printing, samples of dental methacrylic composites containing up to 10 wt. % HAP were prepared and their physicomechanical properties and antibacterial activity against gram-positive bacteria S. mutans were studied. As a result, it was established that the maximum flexural strength (115.1 ± 10.2 MPa) is achieved with a modifier content of 5 wt.% in the composite. The maximum value of inhibition of S. mutans growth in a liquid nutrient medium is achieved with a HAP content of 10 wt.% in the sample. Furthermore, with a HAP content of more than 5 wt.% in the composite, inhibition of biofilm on the material surface is observed. The resulting composite is proposed for use as dental crowns in restorative dentistry.