inforMED
InjuryNJM

APC(TM) FLASH-FREE CLARITY(TM) ADVANCED CERAMIC BRACKET

Received Oct 20, 2016 · Event occurred Sep 22, 2016

Report 2020467-2016-00004 · MDR key 6046138

Device

Generic name

Ceramic Orthodontic Bracket

Catalog number

4006-250

Lot number

UNKNOWN

Product problems

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

Patient

15 YR

  • Tooth Fracture
  • Tooth Fracture

Narrative

Additional Manufacturer Narrative

DOCTOR STATES THAT THE TOOTH HAD NO EVIDENCE OF DAMAGE PRIOR TO THE PATIENT'S INITIAL BONDING. THE HYGIENIST WHO PERFORMED THE DEBONDING HAS PERFORMED APPROXIMATELY 1200 DEBONDINGS, AND IS SKILLED AT THE PROCEDURE. 3M UNITEK HAS HAD NO PRIOR INCIDENCES OF A TOOTH BREAKING HORIZONTALLY UPON DEBONDING. IT IS POSSIBLE THAT THE PATIENT EXPERIENCED A BLOW TO THE MOUTH THAT FRACTURED THE TOOTH, BUT IT WAS KEPT INTACT BY THE BRACKET AND THEN BROKE UPON DEBONDING. THE ORTHODONTIST BELIEVES THAT THIS INCIDENT IS AN ANOMALY, AND IS UNSURE OF THE CAUSE.

Description of Event or Problem

PATIENT WAS AT ORTHODONTIST TO HAVE BRACES REMOVED AT END OF TREATMENT. UPON DEBONDING THE LOWER RIGHT CENTRAL ANTERIOR BRACKET, THE TOOTH BROKE HORIZONTALLY AT THE LOWER GINGIVAL 3RD. THE PATIENT SAW AN ENDODONTIST, WHO PERFORMED A ROOT CANAL AND PLACED A TEMPORARY CROWN, THEN A PERMANENT CROWN.