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Key Facts On Suboxone And Dental Risks In MAT Therapy

Muzzamil Ali

Dental Risk

Suboxone plays a crucial role in treating opioid use disorder (OUD). This medication combines two key ingredients; buprenorphine and naloxone. By easing withdrawal symptoms and reducing cravings, Suboxone helps individuals break free from opioid dependence.

Despite its effectiveness, Suboxone faces criticism. Some argue it simply swaps one addiction for another. This view, however, oversimplifies a complex issue. Suboxone, when used as prescribed, allows patients to regain control of their lives and focus on recovery.

However, like any medication, Suboxone carries potential risks that need to be weighed against its benefits. Understanding how Suboxone works is crucial for dispelling myths and supporting those battling OUD. In this article, let us clear your doubts, the misconceptions and address the potential risks that it carries.

Understanding Medication-Assisted Treatment 

A comprehensive strategy for treating substance use disorders, especially opioid addiction, is provided via medication-assisted treatment, or MAT. This method combines FDA-approved medications with behavioral therapies and counseling, targeting both the physical and psychological aspects of addiction.

The basis of MAT is the use of medications like buprenorphine, methadone, and naltrexone. These drugs work to lessen withdrawal symptoms and reduce cravings. This process allows individuals to focus on their recovery journey without being overwhelmed by the physical demands of addiction.

Research has shown MAT to be highly effective in reducing overdose risks and the transmission of infectious diseases. It also contributes to decreased opioid use and improved treatment outcomes. For those struggling with opioid addiction, MAT can lead to significant improvements in overall health, social functioning, and quality of life.

The strength of MAT lies in its holistic approach, addressing the biological, psychological, and social facets of addiction. This comprehensive strategy increases the likelihood of long-term recovery. The drugs used in MAT do have certain risks though, and they should be properly assessed and controlled just like any other medical procedure.

Suboxone’s Potential Risks

Suboxone, a medication combining buprenorphine and naloxone, is widely used in Medication-Assisted Treatment for opioid use disorder. While effective, it is associated with certain side effects, notably dental risks. Many people have filed a Suboxone lawsuit after facing dental problems due to the medication.

As per TorHoerman Law, 673 product liability lawsuits have been filed as of August 2024, against Indivior, the manufacturer. No settlements have been reached yet. However, average settlements may range between $10,000 to $1,50,000 varying according to the case history.

Let us now have a look at the potential risks of Suboxone:

Xerostomia

Suboxone’s primary dental risk is xerostomia or dry mouth. This side effect occurs when the drug reduces saliva production, creating an environment where harmful bacteria can thrive. 

The resulting lack of moisture increases the risk of tooth decay, gum disease, and oral infections. Patients using Suboxone should be aware of this potential complication and maintain regular oral hygiene practices.

Bruxism

Suboxone treatment has been associated with bruxism, the involuntary grinding or clenching of teeth. This side effect can lead to significant dental problems, including worn enamel, chipped teeth, and jaw pain. 

The exact mechanism linking Suboxone to bruxism is not fully understood, but it may relate to the medication’s effects on the central nervous system. Patients undergoing Suboxone therapy should be monitored for signs of teeth grinding and consider protective measures like night guards.

Dysgeusia

Suboxone users often report altered taste sensations, a side effect known as dysgeusia. This medication can lead to a metallic or bitter taste in the mouth, affecting the enjoyment of food and beverages.

Such taste disturbances may persist throughout treatment, potentially impacting nutrition and quality of life. Patients experiencing this side effect should consult their healthcare provider to discuss management strategies and ensure adequate dietary intake.

Debunking The Myths

There have been many myths surrounding the use of Suboxone. Let us clear the misconceptions. Suboxone is a partial opioid agonist that activates opioid receptors less intensely than full agonists like heroin or morphine. Its active ingredient, buprenorphine, plays a key role in its effectiveness. 

Now, it is crucial to differentiate between addiction and dependence. Addiction disrupts life severely, while dependence is the body’s adaptation to a substance. Suboxone may cause physical dependence but rarely leads to addiction due to its ‘ceiling effect’, where increased doses do not amplify its impact. 

Undoubtedly, MAT, including Suboxone therapy, has shown remarkable success in treating opioid use disorder. Many patients report terminating opioid use after a year of Suboxone treatment. Compared to other Medical Assisted Treatment medications like methadone, Suboxone often proves more effective in curbing cravings.

However, medication alone isn’t enough. Therapy and comprehensive care are essential components of successful treatment. When considering stopping Suboxone, professional guidance is crucial to manage withdrawal risks and prevent relapse. Abrupt discontinuation can lead to renewed opioid use and increased overdose risk due to lowered tolerance.

While Suboxone offers valuable support in opioid addiction treatment, long-term use may pose other health challenges. Balancing its benefits with potential risks requires careful consideration and ongoing medical supervision.

Frequently Asked Questions (FAQs)

Can Suboxone be addictive?

Suboxone has a lower risk of addiction compared to full opioid agonists like methadone and naloxone. However, it is still possible to develop physical dependence on Suboxone. It is crucial to take the medication as prescribed by your healthcare provider.

What should I do if I experience side effects while taking Suboxone?

If you experience any side effects while taking Suboxone, it is important to inform your healthcare provider promptly. They can help assess the severity of the side effects and adjust your treatment plan if needed. It is essential to follow your healthcare provider’s recommendations regarding the duration of treatment to lower the risk of side effects.

Can Suboxone be used during pregnancy?

Suboxone is generally considered safe to use during pregnancy under the guidance of a healthcare provider. However, it is essential to discuss the potential risks and benefits with your doctor before starting or continuing Suboxone treatment while pregnant. This is the safest way to start any medication as they are the right people to guide you.

Individuals using Suboxone should prioritize oral health to mitigate dental risks. This includes regular brushing and flossing routines, along with regular dental check-ups and cleanings. 

Professional monitoring can help detect and address potential issues early. By maintaining strict oral care, Suboxone users can better protect their dental health while undergoing treatment for opioid use disorder.

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