Dimethacrylate dental composite resins exhibit inherently low toughness. Toughening of these materials may reduce the incidence of marginal and bulk fracture of composite restorations. OBJECTIVE To determine if dimethacrylate dental restorative materials can be rubber-toughened, and if so, to identify a possible mechanism. METHODS A filler composed of aggregates of polybutadiene/silica as well as irregularly-shaped silica slabs was produced by mixing silica with polybutadiene in dichloromethane. The dried filler was subsequently ground and sieved to < 25 microm. Polybutadiene/silica ratios were varied from 0:1 (control) to 0.5:1. EDAX analysis verified the composition of the complex filler. Filler was added to a bis-GMA/bis-EMA/TEGDMA resin system and fractured in three-point bend test mode at a crosshead speed of 1 mm/min. In addition, 1 bar was fractured at a crosshead speed of 0.001 mm/min to identify a possible mechanism for toughening. RESULTS In specimens fractured at 1 mm/min, flexural modulus is increased or maintained and flexural strength and energy to break increase as the amount of polybutadiene in the aggregates increases. Cavitation of high-rubber-containing aggregates is demonstrated. In the one specimen fractured at 0.001 mm/min, a marked increase in size of high-rubber-containing aggregates along with severe shear damage in the surrounding matrix is shown, suggesting that cavitation with subsequent absorption of energy during shear yielding is the likely mechanism behind the increase in energy to break in bars fractured at 1 mm/min. CONCLUSIONS These results indicate that dimethacrylate dental composite materials can be rubber toughened, which may potentially reduce marginal and bulk fractures of composite restorations, and consequently extend their service lifetime.