Yes, Suboxone can cause tooth decay and other dental health issues. The active ingredient in Suboxone is buprenorphine, which has been associated with dental problems when the medication is dissolved in the mouth
FDA Warning: The U.S. Food and Drug Administration (FDA) has issued a warning about the potential for dental problems associated with buprenorphine medicines dissolved in the mouth. These problems include tooth decay, cavities, dental abscesses, tooth erosion, and, in some cases, total tooth loss. Even patients with no tooth issues report this problem
Mechanism: Buprenorphine, when dissolved in the mouth, drastically lowers pH levels in the mouth, leading to increased acidity. Acidic environment can cause permanent damage to the tooth enamel
Preventive Measures: After taking Suboxone, patients should wait for at least one hour before brushing their teeth to avoid damaging the enamel.