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Does Suboxone interfere with dental procedures?

Suboxone does not interfere with most dental procedures. However, there may be some risks with other major dental procedures requiring additional discussions with your provider(s).  

What are minor dental procedures? 

Minor dental procedures are usually those procedures that can be carried out in your regular dental office. For example, routine cleanings, x-rays, cavity fillings, dental crowns, and gum health are some standard procedures and treatments that occur within your regular dental office that can be done safely without regard to Suboxone use. 

Are there any risks with Suboxone and major dental procedures? 

Yes, some major dental procedures (e.g., surgery) will require additional planning with you, your medication for addiction treatment (MAT) provider, and your dentist while taking Suboxone. 

Suboxone can interfere with the effectiveness of opioid pain medication. Therefore, if a person taking Suboxone requires pain management with an opioid (during or after the procedure), it is essential to have a plan in place to ensure adequate pain control before the surgery occurs. 

In most cases, you will not have to stop your Suboxone, according to the 2020 American Society of Addiction Medicine (ASAM) guidelines, before your major dental procedure. 

However, this may vary depending on individual circumstances and the dental procedure needed. You should never stop taking your Suboxone unless directed by your provider. 

Brittany Hoffmann-Eubanks, PharmD, MBA

Brittany Hoffmann-Eubanks, PharmD, MBA, received her Doctor of Pharmacy and Master of Business Administration degrees from Drake University College of Pharmacy and Health Sciences and completed her community pharmacy residency with Midwestern University and a local community pharmacy.

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