FDA Adverse Event
Injury
Summary report: N
POLIDENT ANTIBACTERIAL DENTURE CLEANSER 3 MINUTE DAILY CLEANSER
MDR report key: 9733559
·
Received February 19, 2020
Report
- Report Number
- MW5093129
- Event Type
- Injury
- Date Received
- February 19, 2020
- Date of Event
- February 16, 2020
- Report Date
- February 17, 2020
- Manufacturer
- GSK CONSUMER HEALTHCARE HOLDINGS (US) LLC
- Product Code
- EFT
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
SINCE OCTOBER HAD BEEN USING POLIDENT 4 MIN DAILY CLEANSER AS DIRECTED ON A DENTAL DEVICE, I WEAR AT NIGHT AS RECOMMENDED BY MY DENTAL OFFICE. EXPERIENCED BURNING SENSATION ON MY TONGUE AND TONGUE BLEEDING FOR SEVERAL WEEKS. SYMPTOMS RESOLVED AFTER DISCONTINUING USE OF POLIDENT FOR CLEANING. I USED POLIDENT AGAIN ONCE TO CLEAN MY DEVICE AND EXPERIENCED SAME SYMPTOMS AFTER ONE NIGHT OF WEAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 191901 | POLIDENT ANTIBACTERIAL DENTURE CLEANSER 3 MINUTE DAILY CLEANSER | CLEANSER, DENTURE, OVER THE COUNTER | EFT | GSK CONSUMER HEALTHCARE HOLDINGS (US) LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR |