Injury guide
Dental problems have been reported with medicine that dissolves in the mouth. Seek dental care and keep the treatment and medicine records.
Updated Oct 4, 202610 sources
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Updated Oct 4, 202610 sources
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Mahyar Etminan · Faculty of Medicine, University of British Columbia · Lead author of the dental claims-database study
Finding: The study recorded more dental problems among users of medicine held under the tongue than in its comparison groups.
Etminan and colleagues: dental disease cohort, JAMA 2022 (opens in a new tab) · Dec 13, 2022 · Checked Oct 3, 2026
University of British Columbia · JAMA · 2022
Read the source: Association Between Sublingual Buprenorphine-Naloxone Exposure and Dental Disease (opens in a new tab) · Checked Oct 3, 2026
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FDA reports describe decay, mouth infection and lost teeth. They concern drugs that dissolve in the mouth.
The warning includes films and tablets held under the tongue or inside the cheek. It also includes people who had no earlier dental problems. Keep the exact prescription name rather than assuming every form of the medicine has the same warning.
Tell your dentist about new tooth or gum problems and the medicine you take. Ask for an exam and a care plan.
FDA advises dental visits soon after starting this medicine and regular checks during use. Bring the start date and any earlier dental records. A symptom or a change in teeth is a reason for care, not proof that a drug caused it.
A dentist can examine your teeth and plan care for your needs. Do not suddenly stop your medicine on your own.
FDA says the treatment benefits outweigh the risks. After the medicine fully dissolves, gently rinse teeth and gums with water, swallow, and wait at least one hour before brushing. Ask your prescriber and dentist how to follow the warning alongside your own care plan.
A study found more dental diagnoses among under-tongue users than in two other treatment groups. It did not prove the cause of one person’s injury.
The study used health claims, not a trial that assigned treatments. It lacked oral hygiene data and could miss dental events not recorded by a physician. Those limits matter when a clinician or lawyer reviews your history; the result is not a test for case acceptance.
Ask a lawyer to check your product, harm and dates. The court lists claims about film; it has not ruled for each user.
Federal case group 3092 is before Judge J. Philip Calabrese. Keep your dental findings separate from the question of legal responsibility. Ask what law and evidence apply, what time limit needs checking and what else the lawyer needs before deciding to take the case.
Keep the medicine, dental and bill records you have. Ask providers for missing copies.
Covered providers generally allow access to medical and billing records, with exceptions and possible copying charges. Keep a dated list of treatment and expenses. Before hiring counsel, ask for written fee and expense terms, including what you may owe if there is no recovery.
The review is free and private. Asking for it doesn’t commit you to anything.
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