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Direct adhesive composite resin restorations are being used extensively. A proper understanding of the technique and its indications has contributed to the widespread use of this restorative approach. Recent industrial developments brought novel technologies to dentistry including the introduction of nanofillers to the restorative procedures. This article reviews some features of this new type of composite resin, discusses its advantages over other materials, and presents an application technique for restoration of posterior teeth through a clinical case report.