ULTRADENT ULTRACAL XS CALCIUM HYDROXIDE PASTE
Received Oct 17, 2019 · Event occurred May 29, 2019
Report MW5090472 · MDR key 9208114
Device
Generic name
Liner, Cavity / Calcium Hydroxide
Manufacturer
Ultradent Products, Inc. / Oratech LlcProduct problems
- Improper or Incorrect Procedure or Method
Patient
40 YR
- No Code Available
- No Code Available
Narrative
Description of Event or Problem
ON (B)(6) 2019, MY ENDODONTIST OVERFILLED THE ROOT CANAL OF TOOTH #19 WITH CALCIUM HYDROXIDE RESULTING IN PERSISTENT ANESTHESIA AND DYSESTHESIA. ON (B)(6) 2019, (B)(6), DDS, MD SURGICALLY REMOVED PORTIONS OF THE CALCIUM HYDROXIDE OVERFILL WHICH HAD MUMMIFIED MY MANDIBULAR NERVE; TREATMENT RECORDS OF THE FOLLOWING: RECORDS-AND (B)(6) 2019 PANOREX X-RAY OF ENDODONTIST, (B)(6), DDS, MD'S SURGICAL REPORT, (B)(6) CBCT DATED (B)(6) 2019, TREATMENT RECORD OF THE ENDODONTIST'S CALCIUM HYDROXIDE OVERFILL INCLUDING RADIOGRAPH DATED (B)(6) 2019, SURGICAL RECORD OF DR (B)(6). NO MEDICATIONS FOR PERSISTENT ANESTHESIA OF MY LEFT LIP, CHIN, AND GUMS.