FDA Adverse Event
Other
Summary report: N
MATERIAL OBTAINED FROM DENTIST
MDR report key: 403198
·
Received July 3, 2002
Report
- Report Number
- MW1025490
- Event Type
- Other
- Date Received
- July 3, 2002
- Date of Event
- May 10, 2002
- Report Date
- July 2, 2002
- Manufacturer
- UNK
- Product Code
- ELW
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NC, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
PERMANENT DENTAL BRIDGE PLACED OVER IMPLANTS. WITHIN HRS DEVELOPED ULCERS UNDER TONGUE AND ON LIP TOGETHER WITH A VERY PAINFUL AND INFLAMED THROAT WHICH MADE SWALLOWING DIFFICULT.
Description of Event or Problem · 1
ADD'L INFO REC'D FROM MFR ON 07/03/2002: ACRYLIC DENTAL IMPRESSION MATERIAL USED FOR BRIDGE CONSTRUCTION. THERE WERE ONGOING VISITS PRIOR TO BRIDGE INSERTION. BRIDGE WAS REMOVED & BOILD TO TRY TO REMOVE ALLERGIC PROPERTIES AND REINSERTED. ULCERS AND THROAT INFLAMMATION REAPPEARED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MATERIAL OBTAINED FROM DENTIST | DENTAL BRIDGE | ELW | UNK | NI | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Other | MATERIAL.| PARTIAL BRIDGE WHICH PT NEVER WORE IS OF SAME |