Suboxone, a medication used to treat opioid addiction, can have significant effects on oral health. If you’re taking this medication, it’s crucial to prioritize regular dental care to prevent and address potential dental problems.
This guide will provide you with essential information about seeking dental care while on Suboxone. We’ll discuss the importance of regular checkups, finding a knowledgeable dentist, potential dental issues, treatment options, and more.
Understanding Opioid Addiction and Suboxone Treatment
Opioid Use Disorder (OUD) has become a critical public health crisis in the United States.
According to Johns Hopkins Medicine, over 800,000 Americans succumbed to drug overdoses between 1999 and 2020. This alarming rise in addiction has even contributed to a decline in U.S. life expectancy.
OUD is characterized by intense cravings for opioids, risky use patterns, and withdrawal symptoms when discontinued. Left untreated, it can lead to overdose and death.
Fortunately, effective treatment options exist to manage OUD. Medications like Suboxone can help lessen cravings and aid in discontinuing opioid use. Drugs.com explains that Suboxone is a combination of two drugs: buprenorphine and naloxone.
Suboxone: A Two-Pronged Approach to Opioid Addiction
- Buprenorphine: This active ingredient falls under the category of partial opioid agonists. Compared to heroin and other strong opioids, buprenorphine produces weaker effects. Additionally, it has a “ceiling effect,” meaning further dosage increases won’t significantly enhance its impact. This reduces the risk of dependence, overdose, and side effects.
- Naloxone: This “blocker” drug only activates if injected, deterring Suboxone abuse through injection. For individuals dependent on opioids, injecting this medication leads to uncomfortable withdrawal symptoms.
Suboxone’s Form and Administration
The medication comes in tablet or dissolving film form. According to Drugs.com, doctors typically initiate treatment with a dose containing up to 8mg buprenorphine and 2mg naloxone. They then progress to a recommended daily maintenance dose of 16mg/4mg taken once a day.
The tablets dissolve under the tongue, not swallowed, and medication should be taken before eating or drinking anything. The effects begin soon after a dose and last up to 36 hours.
By understanding Suboxone as an effective treatment for OUD, we can now explore the importance of good oral health practices while on this medication.
What not to take with Suboxone?
When taking Suboxone (buprenorphine), avoid certain medications and substances to prevent interactions. Steer clear of seizure medications like phenobarbital, Tegretol, and Dilantin, as well as Rifampin for tuberculosis and St. John’s wort, which is used for depression. These can affect Suboxone’s effectiveness and safety.
Suboxone and Tooth Decay: A Delayed Warning
While the medication was initially approved by the FDA as a crucial tool for recovering opioid addicts, a concerning side effect emerged later. The introduction of Suboxone film strips, designed for sublingual (under the tongue) placement, was linked to severe tooth decay in many users.
According to AboutLawsuits.com, thousands reported experiencing broken or extracted teeth due to this issue. The lack of earlier warnings from manufacturers is a key point of contention.
It wasn’t until 2022, after the FDA received over 300 reports of dental damage, that Suboxone labels were updated to include tooth decay warnings. This delay has led to a growing number of lawsuits against the manufacturers. Individuals claim they could have avoided permanent damage with proper warnings and preventive measures.
In recognition of the large number of similar lawsuits being filed, the U.S. Judicial Panel on Multidistrict Litigation (JPML) established a centralized Suboxone MDL (Multidistrict Litigation) earlier this year. This streamlines the legal process by consolidating all federal Suboxone lawsuits under one judge for coordinated pretrial proceedings. This aims to avoid conflicting rulings and expedite the case.
If you’re wondering, “Can I still apply for a Suboxone lawsuit?” the answer is yes. If you took the film strips and experienced significant tooth decay, you may be eligible to join the ongoing litigation.
However, TruLaw notes that it’s crucial to consult with an attorney to determine your eligibility and understand the specific details of your case. They can advise you on the best course of action based on your situation.
Understanding the treatment benefits and potential dental risks helps individuals manage their addiction while taking proactive steps to protect their oral health.
What is a good substitute for Suboxone?
If the medication needs to be discontinued, naltrexone is a viable alternative for opiate addiction treatment. Unlike Suboxone, naltrexone blocks opioid receptors without causing dependence. It’s important to consult with a healthcare provider to determine the best treatment option tailored to individual needs and circumstances.
What is the new dental warning for buprenorphine?
The updated labeling for transmucosal buprenorphine products now includes a warning about potential serious dental issues. Users may experience tooth decay, oral infections, cavities, and tooth loss. This change aims to alert patients and healthcare providers to take preventive measures for oral health.
Disclosing Suboxone Use to Your Dentist
It’s crucial to inform your dentist about your treatment. This disclosure allows your dentist to tailor your dental care plan to address potential oral health issues associated with Suboxone use. By understanding that you’re taking this medication, your dentist can:
- Avoid medication interactions: Some medications used in dental procedures may interact with Suboxone, potentially leading to adverse effects. By being aware of your OUD treatment, your dentist can choose alternative medications or adjust dosages as needed.
- Address potential side effects: Suboxone can cause dry mouth, which can contribute to tooth decay and gum disease. Your dentist can provide recommendations for managing dry mouth, such as using a saliva substitute or drinking plenty of water.
- Monitor for oral health changes: Regular dental check-ups can help identify and address any oral health changes that may be related to the medication’s use. Early detection and treatment can prevent more serious dental problems.
6 Effective Ways to Combat Tooth Decay While on Suboxone
You can combat Suboxone tooth decay by reducing the acidity in your mouth and adding minerals to fortify your teeth. Here are six ways you can help your mouth accomplish this:
- Address your heartburn: Chronic acid reflux (GERD) can bring acid into the mouth, weakening tooth enamel and contributing to decay. If you experience frequent heartburn or indigestion, consult your doctor for long-term solutions to reduce acid exposure to your teeth.
- Keep your saliva flowing: Saliva helps maintain oral pH and remineralize teeth. Suboxone can reduce saliva production, so try chewing sugar-free gum with xylitol, which stimulates saliva. You can also explore natural remedies like edible oils or use artificial saliva and saliva stimulants.
- Quit or cut back on tobacco and marijuana: Both substances add acidity and reduce saliva flow, increasing the risk of decay. Consider nicotine replacement therapies and counseling for tobacco cessation, and explore healthier habits to replace marijuana use.
- Ask your dentist about in-office solutions: Dentists can provide fluoride treatments, sealants, and varnishes to strengthen and protect teeth. Prescription fluoride mouthwash or gel may also be recommended.
- Add protective minerals at home: Use fluoride toothpaste and consider remineralizing toothpaste like Sensodyne Pronamel. For added protection, ask your dentist about prescription-strength fluoride products.
- Tweak your diet: Reduce acidic and sugary foods like soda and candy, which can accelerate decay. Avoid hidden sugars in processed foods by checking ingredient labels for corn sweeteners, fructose, glucose, and high fructose corn syrup.
Understanding Suboxone’s dental risks and taking proactive steps can help you maintain oral health while managing addiction. Regular dental check-ups, good oral hygiene practices, and open communication with your dentist are essential for preventing and addressing any dental issues. Remember, prioritizing your oral health is an important part of overall well-being.