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