A weeee bit - I researched this extensively as I currently am prescribed it for pain. There is no evidence that it causes severe damage, but it does cause dry mouth - like many other antidepressants do. The saliva helps protect and maintain the teeth, and methadone leaches Calcium in a very very minor way - nothing that a multiple vitamin or more orange juice couldn't fix. As far as the saliva goes, chewing gum helps tremendously, or simply drinking a bit more water. I've also asked a few doctors about this, and they all seemed somewhat baffled by the suggestion that methadone could be related to tooth damage, as they never see it in pain management, only in addicts. Heroin addicts lifestyle often do not include dental insurance, and as an overall often have very poor hygiene (not always). Also, some people may confuse methadone with crystal meth, which will cause some very very severe tooth decay - just google it... it's gross, and amazing at the damage that it causes.
No methadone will not make you lose your teeth. Methamphetamine makes you lose teeth because it constricts your blood vessels and your gums (and entire face) become weak and you basically fall apart. Also most meth users grind their teeth, have poor diets, and bad hygiene which plays a role also.
If you use the sugarfree type and make sure you dont go with the sweet tooth opiates give you, clean your teeth at least twice daily and you'll be ok. I am a clinical drug worker and have been for 15 years. 80% of my clients are prescribed it and thats. the advice I give them.
YES, ABSOLUTELY METHADONE WILL CAUSE TOOTH DECAY. I can't believe anyone would tell you differently and be able to sleep at night. Misinformation like yours is irresponsible and plain ignorant. I take it for chronic pain. I have for 14 years. About 7 years into it my teeth began to crumble. And I have always had the best dental care available. Now I am wearing dentures at 44.
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