The anterior composite matrix dental restoration system provides a matrix for holding a composite filling material in place as it cures, and a tool for holding the matrix in place during the curing of the filling material. The matrix comprises a thin, flat, flexible, and transparent sheet of plastic material with parallel tubular extensions on the opposite ends. The distal ends of the specialized forceps tool are inserted into the tubular ends of the matrix and used to install, hold, and remove the matrix. The relatively small and narrow tool greatly increases the comfort of both patient and dentist or dental technician by precluding need to insert and hold the fingers in the mouth of the patient to install, hold, and remove the matrix. The matrices may be provided in different sizes, with at least the tubular end components being optionally color coded to indicate the corresponding size.