FDA Adverse Event
Injury
Summary report: N
PROVICOL
MDR report key: 25327952
·
Received May 29, 2026
Report
- Report Number
- 8010908-2026-00003
- Event Type
- Injury
- Date Received
- May 29, 2026
- Date of Event
- April 13, 2026
- Report Date
- May 29, 2026
- Manufacturer
- VOCO GMBH
- Product Code
- EMA
- PMA / PMN Number
- K915618
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A DENTIST CLAIMS THAT TREATMENT WITH PROVICOL LED TO LOCALISED, SUPERFICIAL AND, IN SOME CASES, PAINFUL TISSUE CHANGES IN SEVERAL PATIENTS. THE SYMPTOMS DESCRIBED INCLUDE A GREY DISCOLOURATION OF THE GUMS AND, IN SOME CASES, DETACHMENT OF THE MUCOUS MEMBRANE. THERE WAS NO MALFUNCTION. THE RESTORATIONS WERE REPLACED USING AN ALTERNATIVE MATERIAL. THE PATIENTS HAVE MADE A FULL RECOVERY. NO LASTING DAMAGE HAS OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 432708 | PROVICOL | PROVICOL | EMA | VOCO GMBH | 2547165 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |