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Suboxone’s Dental Risks and the Search for Safer Alternatives


Published on August 28, 2024

The opioid epidemic in the United States continues to wreak havoc on communities, breaking families and shattering lives along its path. This epidemic is fueled by powerful painkillers like morphine, fentanyl, and tramadol. They have proven that no one is immune to the dangers of these addictive substances.

The staggering toll of over 130 daily overdose deaths underscores the severity of this public health emergency. For years, healthcare professionals and policymakers have grappled with finding effective solutions to combat this crisis. One approach that emerged was the use of Suboxone alongside medication-assisted treatment to help individuals reduce dependence on opioids.

However, as time passed, an unexpected complication arose. This added a new layer of complexity to the already challenging landscape of opioid addiction management. So, this takes us back to square one, and the question remains: what happened and what is to be done now? To answer this question, let us look into the article to know more and clear the confusion.

Suboxone And The Growing Problems

In 2002, the FDA approved Suboxone as a treatment to help individuals reduce their dependence on opioids. This medication initially seemed to provide a safer path to recovery for many patients. However, after some time, reports began to surface of people experiencing dental problems while undergoing Suboxone treatment.

Suboxone film, administered in tablet form, contains two primary ingredients: buprenorphine and naloxone. As the medication dissolves in the mouth, it can weaken tooth enamel, leading to unexpected dental complications. As per TorHoerman Law, Suboxone can lead to an increased risk of cavities, oral infections, gum disease, and tooth loss.

In 2022, the FDA mandated that Indivior, the drug’s manufacturer, include a warning label mentioning the chances of tooth decay on the packaging. By this time, legal action against Suboxone was already gaining momentum. The Suboxone tooth decay lawsuit centers on allegations that Indivior failed to warn consumers about the risks associated with Suboxone sublingual films.

With Suboxone’s side effects under inquiry, healthcare providers and patients are left struggling with an important question. What other options exist for treating opioid addiction? This development explores alternative treatments and therapies that can effectively address opioid dependence while minimizing potential risks. Let us have a look at some of them.

Naltrexone

A recent study was conducted by researchers at the New York State Psychiatric Institute and Columbia University Irving Medical Center. It has shed new light on the treatment of opioid use disorder (OUD). The research team focused their efforts on exploring the efficacy of injectable naltrexone, a medication used to treat opioid addiction.

Traditionally, patients undergoing treatment with extended-release naltrexone (XR-naltrexone) were required to wait 10 to 15 days before initiating the therapy. However, this study’s findings challenge this conventional approach. The researchers discovered that beginning treatment within a time frame of five to seven days yielded more favorable outcomes.

This revelation has significant implications for OUD treatment. By reducing the waiting period, doctors may be able to offer XR-naltrexone as an accessible option for individuals struggling with opioid addiction. The shorter initiation period could potentially increase patient engagement and reduce the risk of relapse during the critical early stages of recovery.

Dr. Matisyahu Shulman, who led the study, expressed optimism about the potential impact of these findings. He believes that this time-sensitive approach could encourage more treatment facilities to incorporate extended-release naltrexone into their OUD treatment programs. Dr. Shulman emphasized the dual benefits of this method: its effectiveness in preventing overdoses and its capacity to support long-term recovery.

Ibogaine

A psychedelic compound derived from an African shrub has been a subject of intense debate in the field of addiction treatment. Despite its illegal status in the United States, some individuals seek ibogaine therapy abroad, hoping for relief from opioid addiction. A recent study conducted by Stanford University has reignited interest in ibogaine’s potential therapeutic applications.

The research, published in January, focused on a group of 30 Special Operations veterans diagnosed with traumatic brain injuries. The results were promising, showing significant reductions in symptoms of anxiety, depression, and PTSD among participants. This study adds to the research exploring the use of psychedelics in treating mental health conditions.

While not a novel concept, advocates for ibogaine research have been actively seeking ways to advance studies on its potential benefits. An ibogaine proponent has already joined forces with a non-profit organization. They are planning to propose using state opioid settlement funds for further investigation into the drug’s efficacy.

However, ibogaine’s legal status presents a significant barrier to research and clinical use in the United States. The drug was outlawed in 1967 and put in the same Schedule I prohibited narcotic category as heroin and LSD. This classification implies a high potential for abuse and no accepted medical use, making research challenging.

Frequently Asked Questions (FAQs)

What dental problems are associated with Suboxone use?

Suboxone use is associated with an increased risk of cavities, gum disease, tooth decay, and oral infections. Dry mouth increases the risk of plaque buildup, potentially leading to dental problems without proper oral care.

Can Suboxone lead to tooth decay?

Yes, Suboxone can contribute to tooth decay. The medication often causes dry mouth, which reduces saliva production and allows harmful bacteria to thrive, leading to plaque formation and cavities. Regular brushing, flossing, and dental visits are critical to preventing decay while on Suboxone.

How can I protect my dental health while taking Suboxone?

To protect your dental health while taking Suboxone, maintain good oral hygiene by brushing twice daily, flossing regularly, and staying hydrated. Use sugar-free gum or lozenges to stimulate saliva production, and visit your dentist regularly for check-ups and professional cleanings to prevent dental issues.

As the opioid crisis continues to evolve, so too must our approaches to treatment and recovery. The challenges posed by Suboxone’s unexpected dental side effects have prompted a renewed search for safer, more effective alternatives. While naltrexone and ibogaine show promise, they also come with their own set of challenges and considerations.

This ongoing quest for better solutions underscores the complexity of addiction treatment and the need for a multifaceted approach. As researchers and healthcare providers continue to explore new avenues, it’s crucial to remember that behind every statistic is a human story.

The path forward will likely involve a combination of innovative therapies, policy changes, and a deeper understanding of the root causes of addiction. Ultimately, the goal remains clear: to provide those struggling with opioid dependence the best possible chance at reclaiming their lives and health.

Newsdesk Editor