FDA Adverse Event
Injury
Summary report: N
SMILESET
MDR report key: 25113823
·
Received May 7, 2026
Report
- Report Number
- 3032193293-2026-00001
- Event Type
- Injury
- Date Received
- May 7, 2026
- Date of Event
- April 7, 2026
- Report Date
- May 7, 2026
- Manufacturer
- ORTHO DENTAL LAB, LLC
- Product Code
- NXC
- PMA / PMN Number
- K212496
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
NO CONCLUSIVE EVIDENCE HAS BEEN PROVIDED THAT SUPPORTS OR OPPOSES THE FACT THAT THE SMILESET ALL-DAY ALIGNERS CAUSED OR CONTRIBUTED TO THE PATIENTS SYMPTOMS. THIS EVENT IS BEING FILED AS A MDR AS THE PATIENT REPORTED A BROKEN TOOTH WHILE A SMILESET ALL-DAY ALIGNER WAS BEING USED.
Description of Event or Problem · 0
CUSTOMER ALLEGED THAT THE ALIGNERS DID NOT FIT THEIR TEETH PROPERLY AND ALLEGEDLY CAUSED ONE OF THEIR TEETH TO BREAK. CUSTOMER STATED THEY ARE NOW GOING TO HAVE AN IMPLANT PLACED AND REQUESTED TO RETURN THE ALIGNERS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 533932 | SMILESET | SMILESET ALL-DAY ALIGNERS | NXC | ORTHO DENTAL LAB, LLC | 121-0106 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Female | Required Intervention |