inforMED
InjuryDYT

VIVERA RETAINERS

Received May 21, 2025 · Event occurred May 1, 2025

Report 2953749-2025-01085 · MDR key 22060605

Device

Generic name

Maintainer, Space Preformed, Orthodontic

Model number

8579

Lot number

159959819

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

65 YR · Female

  • Tooth Loss
  • Tooth Loss

Narrative

Additional Manufacturer Narrative

THE CURRENT INSTRUCTIONS FOR USE CONTAINS THE FOLLOWING: "PRECAUTIONS - A TOOTH THAT HAS BEEN PREVIOUSLY TRAUMATIZED OR SIGNIFICANTLY RESTORED MAY BE AGGRAVATED. IN RARE INSTANCES, THE USEFUL LIFE OF THE TOOTH MAY BE REDUCED, THE TOOTH MAY REQUIRE ADDITIONAL DENTAL TREATMENT SUCH AS ENDODONTIC AND/OR ADDITIONAL RESTORATIVE WORK, AND/OR THE TOOTH MAY BE LOST.". NO ROOT CAUSE WAS PROVIDED. NO CONCLUSIVE EVIDENCE HAS BEEN PROVIDED THAT SUPPORTS OR OPPOSES WHETHER THE VIVERA RETAINERS CAUSED OR CONTRIBUTED TO THE REQUIRED A TOOTH EXTRACTION (PERMANENT DAMAGE) AND THE VIVERA RETAINERS WERE BEING USED. THEREFORE, AN MDR IS BEING FILED IN THE UNITED STATES PER 21 CFR 803. THERE IS NO CONCLUSIVE EVIDENCE TO CONFIRM THE DATE OF THE REQUIRED TOOTH EXTRACTION, AND THE DATE (B3) IS BASED ON THE TIMELINES REPORTED TO ALIGN AND COMPARED TO PATIENT INFORMATION.

Description of Event or Problem

THE TREATING DOCTOR IS REPORTING TOOTH LOSS (NO SPECIFIC TOOTH WAS MENTIONED). THE PATIENT DIDN'T NEED ANY FURTHER MEDICAL INTERVENTION. IT IS UNKNOWN IF THE PATIENT WAS PRESCRIBED OR TOOK ANY MEDICATIONS TO ALLEVIATE THE REPORTED SYMPTOM.