Caries on #13D: Restored with Garrison Matrix System & Ecosite Elements

By: Dr. Mohammed Hammoud

Today’s case: Caries on #13D, restored using two standout products:

  • Garrison Matrix System
  • Ecosite Elements

Here’s how they helped deliver an efficient, esthetic result!

Procedure Breakdown:

Isolation & Preparation: After isolating the area, caries removal was kept conservative to preserve as much enamel as possible.

🔹 Matrix System: Used the Garrison Matrix System, which provided:
✔️ Excellent tooth separation for a tight, natural contact
✔️ A secure fit at the base of the proximal box to prevent overhangs
✔️ Consistent adaptation, reducing the need for excessive finishing

🔹 Etching & Bonding: 37% phosphoric acid for 15 seconds, rinsed and dried. Applied 3M Scotchbond, thinned and cured for 15 seconds for a strong, reliable bond.

🔹 Composite Placement: Applied Ecosite Elements A1, a nanohybrid composite with:
✔️ Push-and-Flow Effect—starts firm but becomes sculptable for easy adaptation
✔️ Great polishability for a smooth, enamel-like finish
✔️ Low shrinkage stress, ensuring a strong, long-lasting bond

🔹 Finishing & Polishing: Used a fine carbide flame bur for contouring, then polished to a high-gloss finish with Jiffy polishing wheels.

Final Result? 

A well-adapted restoration with excellent contact and esthetics. The patient left happy, and I was impressed with how well Ecosite Elements handled!

💬 What do you look for in a composite? Handling, esthetics, durability?

caries on 13D, restored with garrison matrix and ecosite elements
Mohammed Hammoud

Mohammed Hammoud

Dr. Mohammad Hammoud is a dentist in Plymouth, MI, with a background in Public Health from the University of Michigan and a DMD from LECOM. He has advanced training from the Pankey Institute and Dawson Academy in restorative dentistry, occlusion, and treatment planning. Additionally, he has pursued extensive surgical CE courses to expand his skill set. Mentored by a skilled full-mouth reconstructive dentist, he continues to refine his expertise in complex cases. Outside of dentistry, he enjoys traveling and spending quality time with his wife and family. Dr. Hammoud is committed to providing comprehensive, patient-centered care that enhances both function and aesthetics.