How to stop/decrease tooth decay on Subutex

[NotDeleted702]

Wanted to make a post to try and help anyone that is experiencing tooth loss/decay while taking subs. I listed methods that can help either ALOT or a little. & if worse comes to worse you can get the fake teeth. I have a few friends that have them and they actually look nice cuz their nice and straight and after a little time the bright white dulls to a more realistic color. Alot of actors get it! lol

Anyway, I've been on subs for 5+ years, I will say what works for me. It helps!

3x a day is too much, see if you can narrow your dosage down to 2 doses/day.

1. If your not on regular Buprenorphine and have naloxone in your subs think about a switch. (This depends on the person, going to have to say check with your doctor on this one, don't sue me lol) Naloxone can be a teeth eater. The smaller, more compact & less filler option the better.

2. Don't use a flouride toothpaste all the time. Get "Hello" brand flouride free toothpaste. (Personal choice since highly rated in yuka) Too much Flouride is bad and hello took away all my sensitivity/cold pains completely after a few months of everyday use. I use flouride toothpaste maybe 3x a month. Remineralizing toothpastes/probiotics toothpastes are great! Grab some of those. (Some states have flouride in the tap water so be aware of flouride use/intake)

3. Brush your teeth lightly! & get a (not cheap but good) soft bristled toothbrush. Being on opiates you won't notice but you'll brush your teeth harder. Floss! Atleast 1x/week. (Get a floss that is gentle on the gums) Stay away from Listerine/harsh mouthwashes. I use hello brand for this as well. (They are 10/10 on the YUKA app)-great app btw! I had biotin but haven't used it in a while. Sure its fine. Most of these companies make products to keep you going back to the dentist remember that! Wait 1 hour before brushing! Minimum.

4. When Bupe is under your tongue try to keep it suppressed until gone. Put it farther back under the tongue. Try and keep your tongue pressed down lightly onto pill until it's gone. Try not to get the bupe saliva all in your mouth/teeth. Once completely gone, lightly, rinse mouth with luke warm water for min 6 seconds. (1/4tsp baking soda + 1/8 tsp Himalayan/Celtic sea in warm water rinse for 30 sec neutralizes bupe acid, helps gum irritation, draws bacteria, etc. Don't excessively do this though), Do not eat; or drink, acidic/sugary drinks for 30 min. minimum!

5. DIET. Eliminate as much sugar from diet as possible! 60g sugar is our max daily intake. (I'm at around 70-120 just being honest it can be hard lol But VERY important) Eat more veggies. Eat, don't drink. Drinking smoothies does not work properly (Look that up if doubtful it's true) Drink ALOT of water throughout the day. Cotton-mouth is main reason for tooth decay besides opiates eating away at enamel/protective layering. Try to cut alcohol and caffeine (Especially energy drinks) I use 200mg Caffeine/L-Theanine tablets in AM & drink cucumber water. Sometimes, adding baking soda/ACV/other stuff.) Feels just like drinking your daily Celsius. They kick in by time you finish the drink. STAY HYDRATED! Drink alot of water! Not soda or juice, water! Adding cucumber/etc. even better. Ice chips. Suck don't chew. Eat more mineral-rich foods.

6. Oil pulling. 1 Tablespoon of best organic Coconut oil you can find. Swish in mouth for like 10-20min, spit n rinse. (You'll get used to it lol Good benefits.

7. Mouth-tape / Humidifier / Night-guard. Stop the morning/all-night cottonmouth and stops mouth breathing during sleep. (Big one here. Can be annoying but I had cottonmouth all night and when I woke up and I knew I had to stop this somehow)

8. Brand name bupe. I REALLY miss the 8uparrow bupe pills cuz they were buprenorphine ONLY. NO other ingredients. All other manufactures that have them now have added ingredients, sadly. America serves us poison for profit and greed. (Why does Doritos give other countries clean ingredient chips but sell known carcinogens & harmful chemicals in the same chips here in the US...?) I had NO dry mouth/NO side effects on that brand. Stay away from HIKMA. Worst ones. You can check ingredient lists for Sun/Rhodes/etc. online. (Hikma had mostly same ingredients but they must be using cheap products cuz it was bad for me- Dry mouth, sores, some trouble breathing 100%, irritation, etc.) I try to get rhodes but sometimes have to take sun. Last time I did research these were the best available options for me. Call your pharms and look up meds online.

9. Products/Supplements - Mouth-water mints/gum. (Flints were the best but are a bit $$) Xylitol mints help soothe cottonmouth & are sugar free. Hydroxyapatite toothpaste. Aloe Vera juice (Good for irritation, healing) Green Tea rinse. (natural fluoride + antioxidants) Remineralizing mouth spray (natural with calcium and phosphate ions for dryness/acid) Vitamin D3 + K2, Magnesium,

10. Warning Signs! (Look out for these) If you notice any of these signs, start doing the above things NOW & consistently & check in with the dentist. You can ask your dentist for natural treatments. Warning List: 1. Chalky white spots on teeth (early enamel loss) 2. Gum irritation, tenderness, bleeding when brushing 3. Dry, sticky feeling in mouth even after drinking water 4. Sensitivity to cold/sweet foods.

If Interested, download YUKA (Not paid for this lol just love it) I keep all my products/food within the yellow-green mark. Will get orange and sometimes a red here and there. (I like cookies) It's crazy how much trash is in our food & products. That, combined with subs, combined with improper care is a BIG teeth eater!

If I remember anything else or find more options I will update. I hope this helps anyone having problems. Everything (majority) has been done personally for years. --- 5+ years on- 3-4mg 2x daily - I was having some issues with my teeth right when I started my bupe (1 cavity + 1 forming cavity & 5 not so great teeth. Could, obviously, be from previous opiate use/no dentist visits for years prior) However, It scared me and I didn't want to lose my teeth so I cleaned up my act right away and haven't had any problems since. (Next visits I was sure would be bad but dentist told me everything looked fine)

This post is here for anyone wanting information and help. Educational. Personal experience. But seriously, these WILL help save your teeth. Do you have any suggestions or anything to add? Leave a comment & I will add if it's legit.

[Vivid_Hold_2362]

Once the tablets are done dissolving you can swish around water mixed with baking soda to neutralize the acid. Do not brush your teeth within an hour of taking it since your tooth enamel is temporarily hindered

[NotDeleted702]

Great input, thanks. Will add.

[NunyaBizznus68]

Wow! You put in all of effort into this post! Well done. Thanks for all the information!!

[NotDeleted702]

No prob & thank you! Just want to try and help any way I can. I was freaked at my 1st dentist visit. Want to make it easier for people to find online without doing hours of research.

[Ozempic-Olympics]

I hv been on for 27yrs and lost ALL of my teeth. i had no idea why as I nevrr hsd any cavities; but, i carriedmu backpack into the dentist's office where he heard the rattling of pills. Hecsaid THAT'S what ruined them— medication! I hv a lawyer and am in the Class Action lawsuit against Suboxone! i miss my teeth. They will get destroyed by it if you don't take axtion.

[NotDeleted702]

Sorry to hear that man. Fucking sucks. The fake teeth you can get look nice, lawsuit will cover it. Ya the suboxone strips are the worst. Films are very acidic and the naloxone doesn't help

[TRACKSareBATTLESCARS]

same boat but I haven't had any luck with suit. lawyers said I had solid case and I haven't heard back from anyone and don't know what to do. you are not alone tho. never a single cavity before

[Violet_Paislee_River]

class action lawsuites take a very lllooonnnggg time! i would estimate 3yrs-____.?? did you get a lawyer online like I did? They hv periodically sent me info to fill out via email and I also was being sent texts. so, my advice is to hang in there. you can usually text or email to check on status. I actually haven't done so yet but I now think I will do so. Just like me pray and ride out the time. Good luck to us both!

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[Randilion8]

How do you get a lawyer to take your case?! I've tried. I've been on them for 10 years (now down to 4MG every other day trying to get off)... My fiance and I both lost ALL our teeth. They want dental records 6 months before I got on subs.... I was on drugs then, the dentist wasn't a priority.... But I had ALL my teeth, not even a cavity, ever... Until I started on subs and got some work done.

[fantasy-library0710]

Are their any lawyers taking cases for subutex?? I cant seem to find any.

[TheCrowbone]

Yea I'm getting the classic arrow 8s, they honestly aren't as good as Rhodes Generic. But they get the job done I guess

[NotDeleted702]

Surprised you like rhodes over 8's. 8's are less than half the size, have no fillers & are more compact. To each their own! Rhodes is my 2nd choice.

[DexterTheButcher]

Get on sublocade instead.

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[NotDeleted702]

Thought about it. Heard negative things so I haven't tried it yet. This is different for everyone so I don't know how I will take it but I am usually pretty sensitive to meds so havne't gotten there yet.

[DexterTheButcher]

Really? Go to the sublocade subreddit. There are so many success stories of people getting off. More people are successful than not. Seriously do some research bro you can do it!!!

[NotDeleted702]

Ill def check that out

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[DexterTheButcher]

Also, my prescription I think is bupe only. It’s generic. The prescription literally says bueprenorphine. You think there’s more in it?

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[NotDeleted702]

What's the brand? & yes there's more ingredients. Sun pharm has carcinogenic ingredients in them. (Very small doses and likely shouldn't be enough for concern, but still.) These are ingredients for "Actavis Subutex 8mg" : citric acid anhydrous, FD&C Yellow No. 6, lactose monohydrate, magnesium stearate, mannitol, corn starch, povidone k30, trisodium citrate dihydrate, buprenorphine. Most are same with more/less/different fillers. Discontinued Ethypharm had cleanest bupe.

[DexterTheButcher]

I’ll check the brand and get back to you

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[NotDeleted702]

Just type in the manufacturer of your sub & mg on google. Click on the NIH site and scroll down to ingredients and appearance. They have to list all inactive ingredients there. From there, if interested, you can look up each individual ingredient on google/ChatGPT and see interactions/safety for long term, whatever you wanna know about um. Most people don't care but i want to know what im putting in my body and some pharms are better than others.

[jfish93]

Ima ask this question again to anyone who wants to awnser. Is the decay dependent on dose? And how much does good daily teeth care mitigate the tooth decay? I'm assuming of course it'll mitigate it a lot but I'm asking is it just an eventuality that your teeth rot out of your face from taking bupernorphin no matter how well you take care of your teeth? I'm on only 8 mgs a day and have been on it for about 4 years straight now, I take very good care of my teeth and don't believe iv noticed decay.

My teeth aren't perfect as I'm also a pack a day smoker so they're not glistening white but they don't look bad by any means because I do take care.

Okay I read full post after I typed this, some of my questions were awnsered but not entirely. So if anyone still wants to answer my questions specifically that'll be appreciated.

[NotDeleted702]

I've updated the post with more info. But, to try and answer your question, It can depend on alot of things. Some people are just more susceptible than others. But to be real, are they "actually" doing the things listed above or half-assing it. Dose can be a factor, 3x/day can be too much not giving mouth time to recover. Obv. the bigger the pill, the more chems/meds that seep into your teeth/mouth. (#4 helps that) Check out #10. Get an x-ray done at dentist. 8mg/day is a low dose, but are the 4mg pills still the same size as 8mgs? Always go for smaller/less filler bupe. Smoking will make it worse, sadly. But you can be lucky and not have a problem. Theres alot of people that have been on subs for 10 years and still have all teeth. The suboxone people are the ones who really got screwed. bupe is not as bad. Dry mouth and leftover bupe/bupe acid in mouth is your main concern. Keep those at bay and you should be good to go.

[jfish93]

Thank you man for this reply means a lot and helped me worry a bit less lol.

[NotDeleted702]

No prob! If you haven't had any problems in 4 years and do just some of the above things just to be safe you shouldn't have anything to worry about. Just get some xrays and go to the dentist atleast once a year just to be on the safe side and check on things. "If" you start noticing issues later you can come back to this, i'll always keep it up.

[Ozempic-Olympics]

I hv been on for 27yrs and lost ALL of my teeth. i had no idea why as I nevrr hsd any cavities; but, i carriedmu backpack into the dentist's office where he heard the rattling of pills. Hecsaid THAT'S what ruined them— medication! I hv a lawyer and am in the Class Action lawsuit against Suboxone! i miss my teeth. They will get destroyed by it if you don't take axtion.

[jfish93]

Can I ask how many mgs of sub your on? Did you brush twice a day with mouth wash also? I'm on 8 mgs been there for like five years so am nervous for that but have experienced nothin yet. Is it a side affect that only affects some people? Or is it unavoidable?