SILVER FILLINGS CROWNS OR CEMENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-01-12 for SILVER FILLINGS CROWNS OR CEMENT manufactured by .

Event Text Entries

[1780341] (b)(6) old fillings (8) of them. Now mouth burning and tongue. Nerves so bad from it - to er, doctors - 5 dentists. In 2009, started having crowns put on 4 of them. Crowns or cement affecting old fillings? I'm sick all the time since (b)(6) 2010. Touch old filling with tongue burns bad! I need help - no one knows what to do! Old fillings hurt - burns. Please help! I'm miserable. Nerves shot.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5018990
MDR Report Key1962611
Date Received2011-01-12
Date of Report2011-01-03
Date of Event2010-03-01
Date Added to Maude2011-01-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSILVER FILLINGS CROWNS OR CEMENT
Generic NameNONE
Product CodeEJJ
Date Received2011-01-12
Device AvailabilityN
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2011-01-12

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