FAQ: Is Suboxone Bad for Your Teeth?

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Jessie Paluch

Attorney Jessie Paluch, founder of TruLaw, has over 25 years of experience as a personal injury and mass tort attorney, and previously worked as an international tax attorney at Deloitte. Jessie collaborates with attorneys nationwide — enabling her to share reliable, up-to-date legal information with our readers.

This article has been written and reviewed for legal accuracy and clarity by the team of writers and legal experts at TruLawsuit Info and is as accurate as possible. This content should not be taken as legal advice from an attorney. If you would like to learn more about our owner and experienced injury lawyer, Jessie Paluch, you can do so here.

TruLawsuit Info does everything possible to make sure the information in this article is up to date and accurate. If you need specific legal advice about your case, contact our team by using the chat on the bottom of this page. This article should not be taken as advice from an attorney.

Key Takeaways:

  • Suboxone, especially in sublingual film or tablet form, can increase the risk of tooth decay and other dental health issues due to its acidic nature and prolonged exposure in the mouth, leading to erosion of tooth enamel.
  • Patients who have experienced serious dental problems after being prescribed Suboxone may be eligible to file a lawsuit, and consulting with a qualified attorney can help determine if they have a valid case.
  • Suboxone patients can maintain good oral health and prevent dental problems by adopting a rigorous oral hygiene routine, including brushing twice daily with fluoride toothpaste, flossing, using mouthwash, and attending regular dental check-ups and cleanings.

Is Suboxone Bad for Your Teeth? Let's Discuss

Question: “Is Suboxone bad for your teeth?”

Answer: Yes, Suboxone can negatively impact dental health. The acidity of Suboxone, combined with the prolonged exposure while it dissolves in the mouth, can lead to tooth decay, cavities, and other oral health issues.

On this page, we’ll discuss this question in further depth, professional dental care for Suboxone users, alternative treatments to Suboxone films, and much more.

FAQ Is Suboxone Bad for Your Teeth

Intro to Suboxone and Dental Health

The following dental issues have been associated with Suboxone use and may include, but are not limited to:

  • Tooth decay
  • Oral infections
  • Cavities
  • Tooth loss
  • Other serious dental problems

If you or someone you love has experienced dental issues while using Suboxone, you may qualify to pursue compensation.

Contact TruLaw using the chat on this page to receive an instant case evaluation and determine your eligibility to join others in filing a Suboxone lawsuit today.

Table of Contents

How Suboxone Affects Oral Health

Suboxone, a medication commonly used to treat opioid use disorder (OUD), has been associated with several adverse dental outcomes.

The primary concern revolves around its sublingual or buccal formulations, which are designed to dissolve in the mouth.

According to a study published in JAMA, there is an increased risk of dental problems, such as dental caries and tooth loss, associated with sublingual buprenorphine/naloxone compared to other formulations like transdermal buprenorphine and oral naltrexone.

Potential Side Effects of Suboxone on Teeth

Suboxone’s potential to harm dental health stems from its sublingual or buccal administration, which involves dissolving the medication in the mouth.

This method exposes the teeth to the acidic properties of Suboxone for an extended period, increasing the risk of dental issues.

Identifying these side effects can help patients and healthcare providers take appropriate preventative measures.

Common side effects of Suboxone on teeth include:

  • Tooth decay and cavities: The acidic environment created by the dissolving medication can erode tooth enamel, leading to decay and cavities.
  • Dental abscesses and infections: Prolonged exposure to Suboxone can cause infections and abscesses due to the weakening of the teeth and gums.
  • Tooth erosion: The medication’s acidic nature can wear down the enamel, causing tooth erosion.
  • Total tooth loss in severe cases: In extreme cases, prolonged use of Suboxone without proper dental care can lead to complete tooth loss.

These dental problems can occur even in individuals with no prior history of dental issues.

The FDA has documented cases where dental problems occurred as soon as two weeks after starting treatment, with a median time to diagnosis being approximately two years.

Recognizing and addressing these side effects early is essential to maintaining dental health while on Suboxone.

Mechanisms Behind Suboxone’s Impact on Dental Health

The mechanisms behind Suboxone’s impact on dental health involve its acidic properties and the reduction of saliva production.

Patients are instructed to hold the tablet under the tongue for 5 to 10 minutes to maximize absorption, leading to prolonged acidic exposure in the mouth.

This exposure can erode tooth enamel and increase the risk of decay.

Buprenorphine, a component of Suboxone, can also reduce saliva production, which is vital for maintaining oral health as saliva helps neutralize acids and wash away food particles.

Recognizing these mechanisms underscores the importance of rigorous oral hygiene practices and regular dental check-ups for individuals using Suboxone.

By being aware of the risks and taking proactive steps to mitigate them, patients can better manage their dental health while benefiting from the medication’s therapeutic effects.

Identifying Dental Issues Related to Suboxone

Identifying dental issues early is essential for patients using Suboxone to mitigate long-term damage.

Suboxone can cause a range of dental problems that may not be immediately noticeable.

Being aware of common symptoms can help in early diagnosis and treatment.

Common Symptoms of Suboxone-Related Dental Problems

Patients using Suboxone may experience a range of dental issues.

Recognizing these symptoms early can help in taking timely action to prevent further damage.

Common symptoms include:

  • Tooth decay and cavities: Look for visible signs of decay and increased tooth sensitivity.
  • Tooth erosion: Noticeable thinning of the enamel or changes in tooth color.
  • Oral infections: Symptoms may include swelling, pain, and pus around the affected area.
  • Tooth loss: Loosening of teeth or actual tooth loss in severe cases.

These symptoms can manifest even in individuals with no prior history of dental problems.

The FDA has documented cases where dental problems occurred as soon as two weeks after starting treatment, with a median time to diagnosis being approximately two years.

Identifying these symptoms early and seeking professional dental care can help manage and mitigate the adverse effects of Suboxone on oral health.

Case Studies and Patient Reports on Suboxone and Teeth

Research and patient reports provide valuable insights into the dental issues associated with Suboxone.

Studies have highlighted the increased risk of dental problems among Suboxone users compared to those using other opioid treatments.

A pharmacoepidemiologic study highlighted in JAMA found that sublingual buprenorphine/naloxone was associated with a higher risk of adverse dental outcomes compared to other formulations.

The study noted limitations such as the lack of information on patient oral hygiene and possible unmeasured confounding factors.

Additionally, the FDA reported 305 cases of dental problems, with 131 classified as serious, in patients using buprenorphine medicines dissolved in the mouth.

These findings emphasize the importance of patient education on oral hygiene and regular dental check-ups.

By recognizing the connection between Suboxone and dental issues, patients can better manage their treatment and minimize the impact on their oral health.

Preventative Measures for Protecting Teeth While on Suboxone

Preventative measures are essential for Suboxone users to maintain their dental health.

By adopting effective oral hygiene practices and using appropriate dental products, patients can significantly reduce their risk of developing dental issues.

Regular dental check-ups and proactive care are vital components of these preventative strategies.

Oral Hygiene Practices for Suboxone Users

To mitigate the dental risks associated with Suboxone, patients should adopt rigorous oral hygiene practices.

Implementing these practices can significantly reduce the risk of dental problems and help maintain oral health while on Suboxone.

The FDA recommends the following steps:

  • Swishing with water: After the medicine has completely dissolved, take a large sip of water, swish it gently around the teeth and gums, and swallow.
  • Delayed brushing: Wait at least one hour before brushing teeth to avoid damage and allow the mouth to return to its natural state.
  • Regular dental visits: Regularly visit a dentist to develop a preventative strategy and schedule regular dental checkups.

Incorporating these practices into daily routines can help mitigate the adverse effects of Suboxone on dental health.

Patients should also consult with their dentists to tailor these practices to their specific needs.

Dental Products and Treatments to Mitigate Suboxone Effects

In addition to oral hygiene practices, using specific dental products and treatments can help protect teeth from the adverse effects of Suboxone.

Patients can use fluoride toothpaste and mouth rinses to strengthen tooth enamel and reduce the risk of decay.

Dentists may also recommend treatments such as fluoride varnishes or dental sealants to provide additional protection.

  • Fluoride toothpaste and rinses: Strengthen enamel and reduce decay risk.
  • Fluoride varnishes and sealants: Provide an extra layer of protection against decay.
  • Regular hydration: Consuming water throughout the day helps maintain saliva production and oral health.

By incorporating these products and treatments into their daily routine, Suboxone users can better protect their teeth from the medication’s adverse effects.

It is essential for Suboxone patients to work closely with their dentists to create a personalized oral care plan.

Professional Dental Care for Suboxone Users

Suboxone, while effective in treating opioid use disorder, can cause significant dental issues due to its acidic properties and the method of administration, which involves dissolving the medication in the mouth.

This extended exposure to acid can erode tooth enamel, leading to various dental problems.

Importance of Regular Dental Check-ups for Suboxone Patients

Regular dental check-ups are essential for early detection and management of dental problems in Suboxone users.

Dentists can perform baseline dental evaluations, caries risk assessments, and establish preventive plans tailored to the patient’s needs.

Close monitoring and regular check-ups can help manage and mitigate the adverse effects of Suboxone on dental health.

Regular check-ups allow dentists to identify any emerging dental issues early and provide timely interventions.

This proactive approach can significantly reduce the severity of dental problems and improve overall oral health.

Special Considerations for Dentists Treating Suboxone Patients

Dentists treating patients on Suboxone should be aware of the potential dental risks and take proactive measures.

This includes:

  • Oral health history assessment: Performing a thorough oral health history assessment before starting treatment.
  • Patient counseling: Counseling patients about the potential for dental problems and the importance of oral hygiene.
  • Preventive plans: Establishing a dental caries preventive plan and encouraging regular dental checkups.

By understanding the unique needs of Suboxone patients, dentists can provide better care and help mitigate the medication’s impact on dental health.

Dentists should also stay informed about the latest research and guidelines related to Suboxone and dental health to offer the best possible care to their patients.

Alternative Treatments to Suboxone Films

For patients concerned about the dental risks associated with Suboxone, alternative treatments are available that may pose fewer risks to dental health.

These alternatives can provide effective management of opioid dependence while minimizing the impact on oral health.

Discussing these options with healthcare providers can help patients make informed decisions.

Other Medication Options for Opioid Dependence

For patients concerned about the dental risks associated with Suboxone films, there are alternative treatments available. These options might help reduce exposure to the medication’s acidity and provide effective management for opioid use disorder.

The following alternatives to Suboxone films include, but are not limited to:

  • Buprenorphine Patches: These are applied to the skin and avoid direct contact with teeth, thereby reducing the risk of dental problems.
  • Injectable Buprenorphine: Administered via injection, this method also avoids oral exposure and provides long-lasting relief from withdrawal symptoms and cravings.
  • Methadone: Another effective treatment for opioid use disorder, methadone is taken orally but does not have the same high acidity level as Suboxone.

These alternatives do not involve prolonged acidic exposure in the mouth and may pose less risk to dental health.

Patients should discuss these alternatives with their healthcare providers to determine the best treatment option for their specific needs and circumstances.

Comparative Analysis of Suboxone and Alternative Treatments

Transdermal buprenorphine and oral naltrexone have been found to have a lower risk of adverse dental outcomes compared to sublingual buprenorphine/naloxone.

Clinicians might consider these alternatives, especially for patients with a history of dental problems.

A thorough evaluation of the benefits and potential risks of each treatment option can help in making an informed decision.

Patients should be encouraged to explore these alternatives and discuss their concerns with healthcare providers.

By considering treatments with less dental impact, patients can manage their opioid dependence while minimizing the risk to their oral health.

Long-Term Dental Health Management for Suboxone Patients

Long-term management of dental health is essential for patients on Suboxone to prevent severe dental issues.

Adopting comprehensive dental care strategies can help maintain oral health over time.

Collaboration with dental professionals and consistent oral hygiene practices are key components of successful long-term management.

Strategies for Maintaining Dental Health During Long-Term Suboxone Use

Long-term Suboxone users should adopt comprehensive dental health strategies to maintain their oral health.

These strategies can help mitigate the adverse effects of the medication and ensure long-term dental health.

Key strategies include:

  • Rigorous oral hygiene practices: Regular brushing, flossing, and using mouthwash to maintain oral cleanliness.
  • Regular dental check-ups: Frequent visits to the dentist for early detection and management of dental issues.
  • Use of fluoride treatments and dental sealants: Strengthening enamel and providing extra protection against decay.
  • Maintaining adequate hydration: Drinking plenty of water to support saliva production and oral health.

Implementing these strategies can help Suboxone users maintain their dental health over the long term.

It is important for patients to be proactive in their dental care and work closely with their dentists to tailor these strategies to their needs.

Success Stories of Suboxone Users Maintaining Healthy Teeth

While there are challenges, many Suboxone users have successfully maintained their dental health through diligent oral care and regular dental visits.

These success stories highlight the importance of proactive dental management and the effectiveness of preventive measures in mitigating the dental risks associated with Suboxone.

Sharing these success stories can inspire and motivate other Suboxone users to take their dental health seriously and adopt effective preventative measures.

By following recommended dental care practices and staying vigilant, Suboxone users can protect their teeth and overall oral health.

Government and Medical Guidelines on Suboxone and Dental Health

Government and medical organizations provide essential guidelines and warnings about the dental risks associated with Suboxone.

These guidelines help inform patients and healthcare providers about the necessary precautions and best practices for maintaining dental health while using Suboxone.

Adhering to these guidelines can significantly reduce the risk of dental issues.

Official Health Warnings and Recommendations

Government and medical organizations have issued guidelines and warnings regarding the dental risks associated with Suboxone.

These recommendations emphasize the importance of oral hygiene and regular dental care for patients using Suboxone.

The FDA and other health organizations have provided detailed guidelines to help patients and healthcare providers manage these risks effectively.

Research and Studies on Suboxone’s Dental Impact

Ongoing research and studies continue to shed light on the dental impact of Suboxone.

These findings help healthcare providers develop better strategies for managing and mitigating these risks.

Staying informed about the latest research can help patients and healthcare providers make more informed decisions about treatment options and dental care practices.

By following official guidelines and staying updated on new research, Suboxone users and their healthcare providers can better manage the medication’s impact on dental health.

This proactive approach ensures that patients receive the best possible care and support.

Opioid Dependency Patient Support and Resources

Support and resources are vital for Suboxone users managing their dental health.

Access to support groups and affordable dental care options can significantly improve outcomes for these patients.

By utilizing these resources, patients can better navigate the challenges associated with Suboxone use.

Support Groups and Resources for Suboxone Users

Support groups and resources are available for Suboxone users to help them navigate the challenges of managing their dental health while undergoing treatment for opioid dependence.

These groups provide valuable information, support, and encouragement to patients and their families.

Connecting with others who share similar experiences can be incredibly beneficial for Suboxone users.

Accessing Affordable Dental Care as a Suboxone Patient

Accessing affordable dental care can be challenging for many Suboxone patients.

Various programs and resources are available to help patients find affordable dental care and maintain their oral health.

By utilizing these resources, Suboxone patients can better manage their dental health and reduce the risk of adverse outcomes.

By seeking out support groups and affordable dental care options, Suboxone users can ensure they receive the care and support needed to maintain their oral health.

These resources can make a significant difference in managing the dental risks associated with Suboxone use.

Frequently Asked Questions

  • Can Suboxone cause tooth decay and other oral health issues?

    Yes, Suboxone, especially when prescribed as a sublingual film or tablet, can increase the risk of tooth decay and other dental health issues.

    The acidic nature of the medication and prolonged exposure in the mouth can erode tooth enamel, leading to cavities, infections, and in severe cases, tooth loss.

  • What is the Suboxone Tooth Decay Lawsuit?

    Currently, there is ongoing Suboxone tooth decay litigation related to the potential dental side effects of the medication.

    Patients who have experienced serious dental problems after being physician prescribed Suboxone film or tablets may be eligible to file a lawsuit.

    Consulting with a qualified attorney can help determine if you have a valid case.

  • How does a dentist perform a caries risk assessment for Suboxone patients?

    A caries risk assessment for Suboxone patients involves a thorough evaluation of their oral health history, current dental status, and medication use.

    Dentists will examine the teeth and gums, looking for signs of decay, erosion, or other dental problems.

    They may also inquire about the patient’s oral hygiene habits and provide recommendations for minimizing the risk of tooth decay while on Suboxone.

  • Can Suboxone withdrawal symptoms impact dental health?

    Yes, Suboxone withdrawal symptoms, such as vomiting and dry mouth, can indirectly impact dental health.

    Frequent vomiting can expose the teeth to stomach acid, further eroding the enamel.

    Dry mouth, a common side effect of opioid withdrawal, can increase the risk of tooth decay and gum disease by reducing saliva flow, which helps neutralize acid and wash away bacteria.

  • Are there alternative opioid addiction treatments with fewer dental side effects?

    Yes, alternative opioid addiction treatments, such as transdermal buprenorphine patches or oral naltrexone pills, may have fewer direct dental side effects compared to Suboxone films or tablets.

    These formulations do not involve prolonged exposure to acidic substances in the mouth.

    However, it is essential to discuss the potential risks and benefits of each treatment option with a healthcare provider to determine the best approach for your individual needs.

  • How can Suboxone patients maintain good oral health and prevent dental problems?

    Suboxone patients can maintain good oral health and prevent dental problems by adopting a rigorous oral hygiene routine, including brushing twice daily with fluoride toothpaste, flossing, and using mouthwash.

    After the Suboxone film or tablet has fully dissolved, patients should swish their mouth with water and wait at least an hour before brushing their teeth.

    Regular dental check-ups and cleanings are crucial for early detection and treatment of any dental issues.

    Patients should also inform their dentist about their Suboxone use to receive personalized advice and care.

    Staying hydrated and using fluoride treatments or dental sealants as recommended by a dentist can provide additional protection against tooth decay.

Written By:
Picture of Jessie Paluch
Jessie Paluch

Experienced Attorney & Legal SaaS CEO

With over 25 years of legal experience, Jessie is an Illinois lawyer, a CPA, and a mother of three.  She spent the first decade of her career working as an international tax attorney at Deloitte.

In 2009, Jessie co-founded her own law firm with her husband – which has scaled to over 30 employees since its conception.

In 2016, Jessie founded TruLaw, which allows her to collaborate with attorneys and legal experts across the United States on a daily basis. This hypervaluable network of experts is what enables her to share reliable legal information with her readers!

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