FDA Adverse Event Injury Summary report: N

TRANSCEND CERAMIC BRACKET

MDR report key: 63245 · Received January 10, 1997

Report

Report Number
2020467-1997-00001
Event Type
Injury
Date Received
January 10, 1997
Date of Event
December 12, 1996
Report Date
December 16, 1996
Manufacturer
3M UNITEK
Product Code
ECQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

ORTHODONTIST STATED THAT WHILE DEBONDING A TRANSCEND CERAMIC BRACKET FROM TOOTH #11, THE TOOTH FRACTURED AT THE GINGIVAL ONE-THIRD ON THE FACIAL AND SUBGINGIVAL ON THE LINGUAL AND DISTAL. FOLLOW-UP THERAPY INCLUDED ENDODONTIC TREATMENT AND A CROWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRANSCEND CERAMIC BRACKET ORTHODONTIC CERAMIC BRACKET ECQ 3M UNITEK UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 35 YR Required Intervention TRANSCEND DEBONDED (#444-770),| STAINLESS STEEL ARCHWIRE,| BONDING ADHESIVE,| ORTHODONTIC TREATMENT