Effect of Nano-Silver Fluoride Containing 2000 ppm Silver Nanoparticles on the Microhardness and Color of Flowable Resin Composites: An In Vitro Pilot Study

Although the modification of resin composites with antimicrobial agents represents a viable alternative for biofilm inhibition, these changes may compromise the optical and mechanical properties of dental restorations. This in vitro pilot study evaluated the effect of incorporating Nano-Silver Fluoride (NSF) containing 2000 ppm silver nanoparticles (AgNPs) on the microhardness and color of flowable resin composites: Vittra APS Unique Flowable (VA), Filtek Bulk Fill Flowable (FB), and Filtek Supreme Flowable (FS). The resin composites were modified by adding 1 wt%, 2 wt%, and 4 wt% NSF and compared with an unmodified group (control). NSF was characterized by UV–visible spectroscopy and transmission electron microscopy. The specimens were subjected to Vickers microhardness testing and color analysis using the CIEDE2000 (ΔE00) and CIELAB (ΔE) systems. NSF incorporation had a material-dependent effect on microhardness. The VA group showed a progressive reduction in microhardness with increasing NSF additions, whereas the FS group remained unchanged up to the concentration of 2 wt%, and the FB group showed no significant reduction in microhardness at any of the tested concentrations compared with the control (p = 0.549). All resin composites exhibited clinically relevant color changes that increased with the NSF concentration, with more pronounced color changes in the VA group, whereas FB and FS did not vary significantly with the addition of different NSF concentrations. Overall, NSF mainly affected the optical properties, with esthetic limitations being the main challenge to be overcome in further studies. The FB and FS groups at 1 wt% and 2 wt% showed smaller chromatic changes than VA, without compromising microhardness, and appear promising for future investigations, including antimicrobial and cytotoxicity analyses.