# Suboxone tooth decay: dental risks of buprenorphine

> Why sublingual buprenorphine-naloxone films have been linked to severe dental erosion and cavities.

**Canonical URL:** https://drugsmonitor.com/guides/suboxone-tooth-decay-explained
**Last updated:** 2026-06-11

Suboxone (buprenorphine/naloxone) sublingual film is used for opioid use disorder treatment. The acidic formulation can erode tooth enamel over time, leading to severe decay, cavities, and tooth loss.

The FDA issued a boxed warning in 2022 after thousands of dental adverse event reports. Patients have reported needing full dental reconstruction, extractions, and root canals.

Dentists recommend rinsing with fluoride after administration, delaying brushing for at least one hour, and scheduling regular dental checkups. Speak with your provider if you notice dental changes.

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*Educational guide from DrugsMonitor.com. Not legal advice.*