The main challenges facing composite restorations are secondary caries and bulk fracture. The objective of this study was to develop nano DCPA (dicalcium phosphate anhydrous)-whisker composites with high strength and Ca and PO4 ion release to combat caries. Flexural strength for the nano DCPA-whisker composites at a nano DCPA:whisker mass ratio of 1:2 ranged from (148 ± 9) MPa to (167 ± 23) MPa, significantly higher than the (103 ± 32) MPa of an inlay/onlay commercial control composite without Ca-PO4 release. The nano DCPA-whisker composite released PO4 to a concentration of (1.95 ± 0.13) mmol/L and Ca of (0.68 ± 0.05) mmol/L. Compared with previous conventional Ca- and PO4-releasing composites, the nano DCPA-whisker composites had strengths two-fold higher, and released comparable or higher levels of Ca and PO4. In conclusion, combining nano-DCPA with whiskers yielded novel composites that released high levels of Ca and PO4 requisite for remineralization. These high-strength composites may provide a unique combination of stress-bearing and caries-inhibiting capabilities.
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