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Fig 16: 5 days post-op days shows close to natural
morphology, contours and contacts.

Fig 17: Before and after the treatment Fig 18: Showing how large defects were built
in natural form and function.

A3O). The marginal ridge was refined in a second increment with a
fine instrument to achieve the correct contour and an even occlusal
embrasure. The firmness of the band facilitated accurate replication of
the marginal ridge. This method effectively recreated both the contact
and the marginal ridge, converting the Class II to Class I. Finally, the
ring and bands were removed. n

ABOUT THE AUTHOR
Fig 19: Pre- and post-op IOPA showing contacts and contours. The
radiolucency you see in the restorations (teeth #44 distal, #45 mesial, Dr. Anand R. Narvekar graduated
and #46 mesial) is because I used RIbbond. from Bharati Vidyapeeth Dental College,
Pune in 1996 and since then has immersed
depends on the choice of band height, so we selected the Firm himself in the field of dentistry with a
special focus on aesthetic dentistry. His
Band FXH175. The firmness of the band material facilitated easy prime interest lies in treating complex full
placement and secure fitting. The bands maintained their shape mouth rehabilitations and smile design
and did not distort during the composite injection molding cases where management of occlusal
procedure, ensuring accurate and reliable restoration outcomes. disorders and restoration of a balanced
For both defects, after applying the bonding agent, we used a occlusion are key components in his
thin layer of Shofu Injectable Xsl—a high-strength, self-leveling, restorative treatment protocol. His keen eye for aesthetics
second-generation injectable material—to seal the dentin. This extends beyond dentistry as he is an avid and globally
initial 0.5 mm-thick layer was crucial for protecting the hybrid acclaimed photographer with his photography appearing in
layer from shrinkage stress. The self-leveling properties of this a wide variety of publications, including dental, travel, auto
media, wildlife, health, and architecture. He is a mentor at the
material allowed it to effectively adapt to uneven surfaces, ensuring leading photography forum, The Photography Club of India.
smooth application without air bubbles and minimizing post- Dr. Anand’s dental work is reflected in leading Asian dental
operative sensitivity. magazines and publications. He is an adjunct faculty member
The walls were then built using Shofu Beautifil LS II, a low- at various private dental institutes as well as an MICD fellow
shrinkage composite with a shrinkage rate of 0.85% (shade A3). and certified Clinical trainer for Minimally Invasive Cosmetic
This was applied in two increments using the snow plow technique, Dentistry (MICD). Recently he was honored as a Fellow of the
complemented by a small quantity of Shofu Injectable Xsl (shade Bangladesh Academy of Dentistry International.

ARTICLE CITATION
Anand Narvekar (2025). Precision restorations with the Garrison quad matrix system: A complex adjacent class II case study. Dental
Practice, 21(1), 36-39
Dental Practice I January-February 2025 I Vol 21 No 1 39