There is insufficient evidence at this time to determine whether or not taking Suboxone specifically causes tooth pain or other dental issues.
Suboxone is available as an oral film or tablet that is either dissolved in the cheek or under the tongue. One of the side effects of Suboxone is xerostomia (decreased saliva), frequently causing dry mouth.
A dry mouth can lead to cavities since saliva helps prevent tooth decay by washing away food and bacteria and decreasing the acidity level within your mouth. The formulations of Suboxone are also acidic, which can affect tooth integrity and also cause other side effects like a painful tongue and redness in the mouth.
In addition, patients who take Suboxone are encouraged to keep the accumulating saliva from the film or tablets in their mouth to increase absorption, which further increases the contact time the acidic solution has with the teeth, which may further increase the risk of cavities.
Despite these concerns, it is not clear whether Suboxone is directly responsible for dental issues people experience as previous opioid use can negatively affect dentition, and some people’s oral health improves with the use of Suboxone.
People taking Suboxone should receive routine dental care on time, at least every six months. They also should make sure their dental provider is aware they are taking Suboxone, so they can thoroughly evaluate their mouth, teeth, and gums to screen for common mouth issues that can occur while taking Suboxone.
In addition, daily self-care such as brushing your teeth twice daily and flossing at least once daily should become routine. People taking Suboxone can also decrease the amount of sugar in their diet, avoid tobacco products, eat a well-balanced diet with plenty of fruits and vegetables, and drink plenty of water.
Any symptoms of dental or oral problems should be reported promptly to your dentist, such as:
Do not wait until your next appointment or chalk any of the above symptoms up to just a side effect of your Suboxone.
If you experience a high fever, facial or neck swelling with any of the above symptoms, you should immediately notify your dentist and seek emergency services.