BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 526353 · Received February 13, 2004

    Report

    Report Number
    MW4003714
    Date Received
    February 13, 2004
    Report Date
    February 13, 2004
    Manufacturer
    UNK
    Product Code
    EBG
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ALLERGIC REACTION TO THE BERYLLIUM AND NICKEL USED TO MAKE DENTAL BRIDGEWORK. DEVELOPED A STRONG METALLIC TASTE IN MOUTH AND THE ULCERATION OF GUM LINE. PT DISCOVERED THAT THE DENTIST THAT DID THE WORK, IS NOT LICENSED IN THEIR STATE. THE LAB THAT MADE THE DENTAL WORK TOLD PT THAT THE COMBINATION OF METALS IS "TOXIC" BUT NOT ILLEGAL TO USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * DENTAL BRIDGEWORK EBG UNK * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 *