3M ESPE STAINLESS STEEL CROWN, PRIMARY MOLAR
Received Jan 14, 2013 · Event occurred Aug 22, 2012
Report 3005174370-2013-00001 · MDR key 2919726
Device
Generic name
Crown, Preformed
Manufacturer
3m Espe Dental ProductsModel number
ND- 96Catalog number
ND-96
Product problems
- Insufficient Device Problem Information
Patient
Not reported
- Fever
- Inflammation
- Chills
Narrative
Description of Event or Problem
ON (B)(6) 2012, IT WAS REPORTED TO 3M ESPE THAT A CHILD WAS HOSPITALIZED AFTER THE CHILD HAD RECEIVED DENTAL TREATMENT, WHICH INCLUDED A 3M(TM) ESPE(TM) PRIMARY STAINLESS STEEL CROWN (MOLAR). THE PLACEMENT OF THE CROWN TOOK PLACE ON (B)(6) 2012. FOLLOWING PLACEMENT OF THE CROWN, THE CHILD DEVELOPED A FEVER AND CHILLS. IN ADDITION, THE PALATE WAS INFLAMED WITH WHITE SPOTS. THE CHILD WAS TAKEN TO A HOSPITAL FOR TREATMENT, DETAILS OF WHICH WERE NOT MADE AVAILABLE TO 3M ESPE. THE TESTS FOR THE CAUSE OF THIS REACTION ARE ONGOING; THE CHILD'S CONDITION IS REPORTED AS RECOVERED.