BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILVER FILLINGS CROWNS OR CEMENT

    MDR report key: 1962611 · Received January 12, 2011

    Report

    Report Number
    MW5018990
    Event Type
    Injury
    Date Received
    January 12, 2011
    Date of Event
    March 1, 2010
    Report Date
    January 3, 2011
    Product Code
    EJJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(6) OLD FILLINGS (8) OF THEM. NOW MOUTH BURNING AND TONGUE. NERVES SO BAD FROM IT - TO ER, DOCTORS - 5 DENTISTS. IN 2009, STARTED HAVING CROWNS PUT ON 4 OF THEM. CROWNS OR CEMENT AFFECTING OLD FILLINGS? I'M SICK ALL THE TIME SINCE (B)(6) 2010. TOUCH OLD FILLING WITH TONGUE BURNS BAD! I NEED HELP - NO ONE KNOWS WHAT TO DO! OLD FILLINGS HURT - BURNS. PLEASE HELP! I'M MISERABLE. NERVES SHOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILVER FILLINGS CROWNS OR CEMENT NONE EJJ

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Hospitalization| O SINCE (B)(6)