If you or someone you love is using Suboxone for opioid recovery, you may have heard about a surprising side effect: tooth decay. Understanding why Suboxone tooth decay happens and what you can do about it can help you stay on track with your MOUD treatment while protecting your smile.
This guide covers the why, how, and what now of Suboxone-related dental issues—so you can feel empowered on your path to better health.
Why Does Suboxone Lead to Tooth Decay?
Suboxone is a valuable asset for managing opioid dependence, but like any medication, it comes with its own set of quirks.
Here’s why Suboxone might be linked to dental problems.
1. Dry Mouth (Xerostomia)
- What’s Happening? Suboxone can reduce saliva flow, leading to what’s called xerostomia, or dry mouth. Saliva does more than keep your mouth moist; it’s your mouth’s natural defender against harmful bacteria and acids. When saliva levels drop, acid levels rise, and bacteria multiply—putting your teeth at risk.
2. Direct Exposure from Sublingual Dosing
- What’s Happening? Suboxone is taken under the tongue to be absorbed slowly, which means it sits against your teeth and gums for an extended period. While this method is effective for treatment, the repeated exposure can alter the mouth’s pH balance, encouraging bacterial growth near the teeth.
3. Acidic Formulation
- What’s Happening? Some components in Suboxone can be acidic, and this acidity can gradually weaken enamel. Over time, this can leave teeth more vulnerable to decay, especially if the medication is taken regularly.
Understanding these causes is the first step in managing the dental effects of Suboxone. Now, let’s look at what you can do if you’re already noticing tooth decay or want to prevent it.
Why Does Suboxone Impact Oral Health?
Understanding why Suboxone can lead to tooth decay helps shine a light on what you can do to protect your teeth.
Here’s what’s happening.
1. Dry Mouth: Less Saliva, More Problems
- What’s Going On: Suboxone can reduce saliva flow, leading to dry mouth (or xerostomia). Without enough saliva, the mouth becomes more acidic, giving bacteria a chance to thrive and cause cavities.
- Why It Matters: Saliva is a natural defense against bacteria and acid. Without it, teeth become more vulnerable to decay.
2. Direct Exposure During Dosing
- What’s Going On: Suboxone is usually taken sublingually (dissolved under the tongue), which means it lingers in the mouth for a while.
- Why It Matters: The extended contact with teeth can alter the pH in your mouth, increasing the likelihood of bacterial growth and decay around your gums.
3. Acidic Ingredients
- What’s Going On: Suboxone tablets contain citric acid and sodium citrate dihydrate to help the medication dissolve and be absorbed effectively under the tongue. Citric acid, commonly found in citrus fruits, and sodium citrate, a salt form of citric acid, make the tablet slightly acidic.
- Why It Matters: Repeated acid exposure softens enamel (the hard, protective outer layer of your teeth), making it easier for bacteria to wear down the teeth.
If You’re Already Experiencing Tooth Decay, Here’s What You Can Do
It’s common to feel frustrated when dental issues arise, but there are solutions to help restore and protect your teeth.
Here are a few practical strategies if you’re noticing signs of decay.
1. Make Regular Dental Visits a Priority
- Why This Helps: Routine cleanings and exams allow your dentist to catch problems early. Professional cleanings can also reach areas that regular brushing may miss.
- What to Ask: Let your dentist know you’re using Suboxone—they may recommend specific treatments to counteract dry mouth and protect your enamel.
2. Use Prescription Toothpaste and Antibacterial Mouthwash
- Why This Helps: Special toothpaste with fluoride strengthens enamel, and antibacterial mouthwash fights bacteria that can cause cavities.
- What to Look For: Ask your dentist for high-fluoride toothpaste and mouthwash that’s safe for daily use. These can give your teeth an extra layer of defense.
3. Saliva-Boosting Products
- Why This Helps: Saliva-stimulating products like xylitol gum, mouth sprays, and lozenges can help keep your mouth moist, reducing the risk of decay.
- What to Try: Look for xylitol-based products or ask your dentist for recommendations on saliva substitutes.
4. Consider Dental Sealants or Fluoride Varnishes
- Why This Helps: Sealants create a protective barrier on the surface of your teeth, while fluoride varnishes strengthen enamel.
- How It Works: These are quick, painless treatments that offer long-lasting protection against bacteria and acid.
Suboxone Tooth Decay: Frequently Asked Questions
Will Tooth Decay Go Away If I Stop Taking Suboxone?
Unfortunately, existing decay won’t heal on its own. However, stopping Suboxone might help prevent further damage. For current decay, restorative treatments from your dentist, such as fillings, crowns, or root canals, are possible options.
Are There Safer Options for Oral Health?
Talking with your TeleMAT provider can help explore alternative forms of Suboxone or additional medications that may support oral health.
In many cases, however, Suboxone is the most effective option for OUD treatment.
Can Good Dental Hygiene Offset Suboxone’s Dental Effects?
Absolutely. By sticking to a rigorous oral care routine—including brushing, flossing, and regular dental visits—you can protect your teeth and manage side effects effectively.
How Long Should You Wait to Brush Your Teeth After Taking Suboxone?
After taking Suboxone, it’s best to wait at least an hour before brushing your teeth.
Here’s why: when Suboxone dissolves under your tongue, it creates an acidic environment in your mouth. Brushing too soon after taking it can actually damage your enamel, which may already be softened from the acidity.
Waiting gives your saliva time to naturally neutralize the acid and protect your teeth from erosion.
Helpful Tip: Try rinsing your mouth gently with water right after taking Suboxone. This can help clear away any lingering acidity without risking enamel damage.
Need Extra Guidance? QuickMD Is Here to Help
QuickMD understands the challenges of managing side effects while staying on track with Suboxone treatment.
Through online consultations, our compassionate providers can guide you through dental concerns, share tips on managing dry mouth, and help you navigate other side effects—all from the comfort of your home. When you need support, QuickMD makes it easy to get expert advice and stay proactive about your health.
Final Thoughts: Protecting Your Smile on the Road to Recovery
Taking Suboxone can be a powerful tool for managing opioid addiction, and with the right strategies, you can protect your teeth along the way. From understanding why tooth decay happens to taking proactive steps, you’re building a strong foundation for both your recovery and your smile.Explore QuickMD’s services and find the help you need, every step of the way.
