The Dual Face of Suboxone: Healing Addiction, Harming Teeth

Suboxone is a medication used in medication-assisted treatment (MAT) for opioid use disorder (OUD). It decreases the dependence on other opioids and helps manage the symptoms of addiction by combining buprenorphine and naloxone.

However, there are misconceptions surrounding Suboxone, such as the belief that it merely replaces one addiction with another. In this article, we aim to clarify these misconceptions, shed light on how Suboxone works, and discuss its potential risks.

Understanding Medical-Assisted Treatment 

MAT is a systematic method of treating drug use disorders in general and opioid use disorders in particular. It offers an in-depth approach to treatment that includes the use of medications approved by the Food and Drug Administration alongside behavioral therapies and counseling.

The medications used in MAT are designed to reduce the physical and psychological symptoms of withdrawal and cravings associated with opioid addiction. These medications include buprenorphine, methadone, and naltrexone. 

They work by blocking the effects of opioids or reducing cravings and withdrawal symptoms. As a result, it is easier for people to focus on recovery without getting distracted by the psychological and physical effects of addiction.

It has been found that MAT is very successful in reducing the danger of overdose and the spread of infectious diseases. Alongside, it also helps in lowering opioid consumption and increasing treatment outcomes. 

For those who are fighting opioid addiction, it helps in improving general physical and mental health, social functioning, and quality of life. The chances of long-term recovery are increased by MAT’s comprehensive and personalized approach to therapy. 

It addresses the biological, psychological, and social elements of addiction. Although this treatment has proven to be a good method for treating substance addiction, the medications used have other potential risks.

Risks Possessed by Suboxone

Suboxone, a combination of buprenorphine and naloxone, is commonly prescribed in MAT for opioid use disorder. While Suboxone can be an effective tool in managing opioid addiction, it has side effects associated with its use. One of the major concerns with Suboxone is the increased dental risks.

Many people have filed a Suboxone tooth decay lawsuit who have faced dental problems after using the medication. The plaintiff claims that the company did not warn them about the complications. 

According to the TorHoerman Law, 350 product liability lawsuits have been filed till now. Indivior, the manufacturing company, has been charged with large claims. The company has to date paid a $985 million settlement against the charges.   

The primary dental risk of Suboxone is the risk of dry mouth, also known as xerostomia. A dry mouth can lead to a reduced flow of saliva, which maintains a crucial role in keeping a healthy oral environment. Saliva helps with food particle removal, acid neutralization, and tooth enamel remineralization. 

The risk of cavities, gum disease, and fungal infections in the mouth may increase when saliva production is reduced. Additionally, Suboxone may develop bruxism, or teeth grinding. Bruxism can result in chipped or broken teeth and pain in the jaw. 

Suboxone users may also notice changes in their sense of taste. This can make it harder for them to stick to a healthy dental hygiene routine because they won’t like it. Even after such risks, Suboxone is used quite commonly for treating OUD. Let us find out why medical practitioners prescribe them.

Understanding the Medication

Suboxone is classified as a partial opioid agonist. This shows that, in comparison to complete agonists like heroin or morphine, it selectively activates opioid receptors. One of Suboxone’s active ingredients is buprenorphine.

Now, it is important to distinguish between addiction and dependence. Addiction may have a major impact on life and can be described as the loss of control despite severe consequences. On the other hand, dependence occurs when the body becomes habitual to a substance.

It may lead to withdrawal symptoms upon discontinuation. Suboxone can result in physical dependence. However, addiction is unlikely due to its ‘ceiling effect.’ This is because increasing the dosage beyond a certain point does not result in stronger effects.

MAT, including the use of Suboxone, has proven to be highly effective and safe in treating opioid use disorder. Studies have shown that several individuals who underwent MAT were no longer using opioids after one year of treatment. 

Comparisons have been made between Suboxone and other medications used in MAT, such as methadone. The results have indicated that the former may be more successful in reducing cravings. However, it is important to note that medication alone is not sufficient for treating addiction. 

It should be done alongside therapy and requires additional care. When considering discontinuing Suboxone, it is crucial to do so under the guidance of a healthcare professional. This can help you minimize the risk of withdrawal symptoms. 

Abruptly stopping Suboxone can increase the chances of returning to opioid use and increase the risk of overdose due to low tolerance. Using Suboxone for a long time can then lead to other health problems.

Frequently Asked Questions (FAQs)

How can opioid disorders be prevented?

Prevention efforts for opioid disorders include educating the public about the risks associated with opioid use, promoting responsible prescribing practices, ensuring access to addiction treatment and recovery support services, and implementing harm reduction strategies such as needle exchange programs.

Can opioid disorder be treated?

Yes, opioid disorder can be treated. Treatment typically involves a combination of medication-assisted treatment (MAT) with drugs like methadone or buprenorphine, counseling or therapy, and support groups. Treatment plans are tailored to the individual’s needs.

What are the risks associated with opioid use disorder?

Opioid use disorder can lead to various health risks, including overdose, respiratory depression, infectious diseases (such as HIV or hepatitis), financial problems, legal issues, strained relationships, and mental health disorders.

What are the signs and symptoms of opioid disorder?

Common signs and symptoms of opioid disorder include cravings for opioids, inability to control or reduce opioid use, neglecting responsibilities due to opioid use, withdrawal symptoms when attempting to quit, and continued opioid use despite negative consequences.

To avoid dental risks, it is important for individuals taking Suboxone to maintain good oral hygiene practices, including regular brushing and flossing. Regular dental check-ups and professional cleanings are also important to monitor oral health and address any issues there.