Suboxone Settlement for Dental Injuries: 2025 Updates

If you’ve used Indivior, Inc.’s Suboxone to manage opioid addiction, you already know how helpful it can be for controlling cravings and withdrawal symptoms. But what you might not know is that some people have reported serious dental problems, like tooth decay, linked to Suboxone’s sublingual strips. It’s a frustrating situation—especially if you’ve dealt with tooth loss, gum injuries, or expensive dental work because of it. The good news? A Suboxone settlement could help cover those costs. Here, Ethen Ostroff Law breaks down what’s happening and how you might be able to get compensation for your dental injuries.

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Get Your Free Case Review

Find out if you qualify for compensation and learn your next steps – no cost, no obligation, just expert legal guidance.

Disclaimer: By submitting the form above and checking the consent box, you agree to our conditions and privacy policy and permit Ethen Ostroff Law to contact you via text messages, phone calls. Standard message rates may apply.


What Is Suboxone?

Suboxone is a medicine used to help people recover from opioid addiction. It’s usually given as a small film strip that dissolves under your tongue. It works by attaching to the same parts of your brain as opioids but doesn’t cause a “high.” Instead, it helps reduce cravings and makes withdrawal easier to handle. Suboxone combines two ingredients. Buprenorphine helps with withdrawal symptoms, and naloxone helps prevent misuse. Even though it’s technically an opioid, it’s used in low doses and monitored by your doctor to keep it safe. Over time, your doctor may lower your dose to help you stop using it completely.

Common Side Effects of Suboxone

Suboxone can come with a variety of side effects, some more common than others. Here’s an overview of the issues people most often report:

  • Nausea 
  • Vomiting 
  • Constipation 
  • Dry mouth 
  • Tooth decay and cavities 
  • Dizziness 
  • Drowsiness 
  • Headache 
  • Anxiety 
  • Depression 
  • Insomnia 
  • Excessive sweating 
  • Back pain 
  • Muscle aches 
  • Burning mouth syndrome 
  • Redness or inflammation in the mouth

Many users experience gastrointestinal issues, like nausea, vomiting, and constipation, alongside oral health problems such as dry mouth and tooth decay. There are also common neurological effects like dizziness, drowsiness, and headaches. Though some of these side effects may lessen over time, it’s important to stay in touch with a healthcare provider if they become persistent or severe.

Studies and Reports Connecting Suboxone to Dental Problems

There’s been a growing concern over the connection between Suboxone and dental problems, with several studies and official reports pointing to a higher risk of tooth decay for users. Here are some key findings:

  • Journal of the American Dental Association (2024): In April 2024, a report published in the Journal of the American Dental Association looked into how Suboxone’s orally dissolving form could contribute to tooth decay (caries). It confirmed that there’s a link between the medication and increased dental issues.
  • Research from UTHealth Houston (2023): In October 2023, a study led by Professor Bing-Yan Wang from UTHealth Houston School of Dentistry began exploring how long-term exposure to buprenorphine (the active ingredient in Suboxone) could lead to dental caries. This ongoing research is shedding more light on the risks for Suboxone users.
  • FDA Adverse Event Reporting (2023): An article published in Current Drug Safety in August 2023 reviewed dental disorders reported to the FDA. The research supported earlier findings that Suboxone and other buprenorphine medications are linked to adverse dental outcomes.
  • JAMA Study (2022): A study published in JAMA in December 2022 found that people using sublingual buprenorphine/naloxone (the combination in Suboxone) had a higher rate of dental problems compared to others. This included an increase in tooth decay and other oral health issues.
  • FDA Acknowledgment (2022): In January 2022, the FDA acknowledged that buprenorphine films—like the ones used in Suboxone—could cause tooth decay. Shortly after, the warning labels on Suboxone and its generic versions were updated to include dental problems as a known side effect. Since then, many people have reported cracked, broken, or damaged teeth after using Suboxone.

These findings have led many to raise awareness about the potential dental risks of using Suboxone. If you’re taking it, it’s a good idea to keep an eye on your oral health and talk to your dentist regularly.

Dental Problems Most Common in Suboxone Users

If you’ve been using Suboxone, you may have started noticing some issues with your teeth or gums. It’s actually something that a lot of people experience, and it has a lot to do with the way Suboxone affects your mouth. The medication’s acidity and its impact on saliva production can lead to a variety of dental problems. Here are the most common ones:

  • Tooth Decay and Cavities: One of the big issues with Suboxone is its acidity, which can wear away the enamel on your teeth. Once the enamel starts breaking down, cavities can form quickly, and if left untreated, they can get worse before you even realize it.
  • Enamel Erosion: Suboxone can weaken the enamel, the layer that protects your teeth. Without that protection, your teeth become more sensitive to hot or cold, and they’re more likely to get damaged, like cracking or chipping.
  • Gum Disease: If you’re using Suboxone, you might notice your mouth feeling dry. This is because the medication can reduce the amount of saliva your mouth produces. Without enough saliva, your gums can become inflamed and irritated, which can lead to gum disease. You may notice your gums bleeding when you brush or even receding over time.
  • Oral Infections: A dry mouth also means there’s less protection from bacteria, which can lead to infections like thrush. This fungal infection can cause irritation in your mouth, making it uncomfortable to eat or speak.
  • Tooth Loss: If dental problems like decay and enamel erosion aren’t taken care of, they can lead to tooth loss. In some cases, people need extractions, crowns, or even implants to fix the damage

How Suboxone Causes Tooth Decay

Suboxone comes in a film that dissolves under your tongue for about 5 to 10 minutes. During this time, the acids in the film are in contact with your teeth and gums. Since people aren’t always told to rinse their mouths afterward, the acids can stay in your mouth longer. This can erode the enamel on your teeth, making them more vulnerable to bacteria, cavities, and infections. Without the enamel, your teeth are also more likely to break or chip.

Suboxone can also cause dry mouth, a common side effect of many medications. When your mouth is dry, you don’t have enough saliva to wash away food and neutralize acids. This makes it easier for dental problems to develop. Saliva also helps protect your mouth by fighting bacteria, fungi, and viruses, so when it’s lacking, your teeth and gums are more exposed.

On top of that, Suboxone can cause sugar cravings, which is common with opioids. Sugar is a major cause of tooth decay, so if you’re eating more sugary foods and not cleaning your teeth properly, it can increase your risk of dental issues.

In short, the acidity of Suboxone, dry mouth, and sugar cravings can all lead to tooth decay and other dental problems. It’s important to take extra care of your teeth while using this medication.

FDA's Warning About Suboxone-Related Tooth Decay

In 2022, the FDA issued a warning about the risk of dental problems from Suboxone (buprenorphine). Many people who used the medication reported serious issues like tooth decay, cavities, infections, and even tooth loss, even if they had no prior dental problems and took good care of their teeth. The agency pointed to growing research and patient reports linking the dissolvable film form of Suboxone to these dental issues. Because of this, they told manufacturers to update the medication’s instructions and guides to include warnings about the dental risks. There are concerns that Indivior didn’t give enough information about the possible dental problems related to the sublingual film version of the drug.

Treatment Options for Dental Problems from Suboxone Use

If you’re dealing with dental problems caused by Suboxone, your dentist will have different treatment options depending on the extent of the damage. Here’s what you might expect:

  • Regular check-ups: to catch issues early. 
  • Fillings: to fix cavities quickly. 
  • Crowns: to protect damaged teeth from further decay. 
  • Root canals: to save teeth when decay reaches the nerve. 
  • Tooth extractions: may be needed if the damage is severe. 
  • Implants: to replace missing teeth after an extraction. 
  • Gum disease treatments: to help with inflammation or bleeding. 
  • Good oral hygiene: to prevent more damage. 
  • Reducing sugary and acidic foods: to protect your teeth.

With these treatments and being extra careful with your oral care, you can manage dental problems and keep your smile healthier.

Best Oral Hygiene Practices for Preventing Dental Problems While on Suboxone

To help protect your teeth while taking Suboxone, here are some simple tips you can follow:

  • Brush twice a day with fluoride toothpaste for two minutes: Focus on the gum line and all surfaces of your teeth to remove plaque. 
  • Floss daily: to get rid of food particles and plaque between your teeth. 
  • Wait at least an hour after taking Suboxone: before brushing your teeth. This gives your enamel time to reharden and prevents damage from brushing too soon. 
  • After Suboxone dissolves, swish water around your mouth: and swallow to clear away any leftover medication. 
  • Drink plenty of water throughout the day: to help with dry mouth and keep your saliva flowing. 
  • Use sugar-free gum or lozenges: They can help stimulate saliva production and reduce dry mouth. 
  • Avoid sugary and acidic drinks: since they can lead to plaque buildup and tooth decay. 
  • Eat more calcium and vitamin D-rich foods: like dairy and crunchy vegetables, to strengthen your teeth and bones. 
  • Finally, visit your dentist regularly: Try to schedule check-ups every six months to stay on top of your oral health.

Why People Are Filing Suboxone Dental Lawsuits

People are filing lawsuits over dental problems caused by Suboxone because they believe the drug caused severe tooth decay and other oral issues. The main claim is that the manufacturer, Indivior, failed to properly warn users about the potential dental risks linked to taking Suboxone. Many users have experienced major dental problems, including tooth loss, and argue that they weren’t informed of these risks when they started using the medication.

In these lawsuits, people are questioning why the company didn’t make these risks clear, especially when there were signs that Suboxone could cause dental damage. Some believe that had they known about the potential oral health problems, they might have chosen a different treatment for opioid use disorder.

The lawsuits also point out how expensive and painful it can be to fix dental issues like severe tooth decay, tooth loss, and gum disease caused by Suboxone use. Those who have experienced these problems are encouraged to seek legal advice, as the lawsuit is ongoing.

Defendants in Suboxone Lawsuits

The lawsuits about Suboxone tooth decay are targeting several companies that were involved in making and selling Suboxone. These include:

  • Indivior, Inc. 
  • Indivior PLC 
  • Indivior Solutions, Inc. 
  • Aquestive Therapeutics, Inc. 
  • MonoSol Rx, Inc. 
  • Reckitt Benckiser LLC 
  • Reckitt Benckiser Healthcare (UK) Ltd.

These companies are being held responsible for their role in producing and distributing Suboxone, which some users claim caused serious dental issues.

Allegations in Suboxone Lawsuits

The main allegations in the Suboxone lawsuits center around the claim that the manufacturers, especially Indivior, failed to warn users about the serious dental risks associated with Suboxone’s sublingual film. Here’s what plaintiffs are saying:

  • Failure to Warn: Plaintiffs argue that Indivior knew about the risks, like tooth decay and tooth loss, but didn’t properly warn users or healthcare providers.
  • Negligence and Profit Focus: Some say that Indivior focused more on making money than on user safety by not offering safer alternatives sooner or updating warning labels when they should have.
  • Deceptive Practices: There are also claims that Indivior engaged in misleading practices, including false marketing and other actions not directly related to dental issues.
  • Irreversible Dental Damage: Many plaintiffs say they suffered lasting dental damage, which required costly dental treatments, all due to the lack of proper warnings about Suboxone.

These allegations have led to a growing number of lawsuits, with over 700 cases combined into a large legal action known as multidistrict litigation (MDL No. 3092) as of January 2025.

Suboxone Class Action Lawsuit

The Suboxone class action lawsuit, formally known as MDL No. 3092, is a consolidated legal case involving several lawsuits related to Suboxone’s dental risks. The lawsuits are being handled in the Northern District of Ohio, under Judge J. Philip Calabrese. Here’s an overview of the case:

  • Case Consolidation: In February 2024, the U.S. Judicial Panel on Multidistrict Litigation combined multiple Suboxone lawsuits into MDL No. 3092. What started with 15 cases has grown significantly since then.
  • Location and Judge: The case is being managed in the Northern District of Ohio by Judge J. Philip Calabrese.
  • Number of Cases: As of January 2, 2025, there are 754 lawsuits within the MDL, with 38 new cases added between December and January.
  • Allegations: Plaintiffs claim that Indivior, the maker of Suboxone, didn’t properly warn users about the dental risks of the drug, which led to severe issues like tooth decay and erosion.
  • Motion to Dismiss: Indivior attempted to dismiss the lawsuits, arguing that federal law overrules state law claims about inadequate warnings. However, on December 31, 2024, Judge Calabrese largely rejected this motion, allowing important claims to proceed.
  • Upcoming Developments: The next MDL hearing is set for January 14, 2025. The case will move forward with more discovery and possibly bellwether trials in 2025.
  • Potential Settlements: While no settlements have been reached yet, the MDL allows for individual case assessments. This means that the compensation for each plaintiff could depend on their specific situation.

What PFAS Are Doing to the Environment

PFAS aren’t just a health problem—they’re an environmental nightmare too. Once these chemicals get into the ground or water, they don’t break down. They stick around for decades, sometimes longer, and quietly work their way into ecosystems that can’t handle them.

  • They sink into soil and stay there. PFAS tend to pile up in places near factories, military sites, airports, and landfills—anywhere they’ve been heavily used or dumped. From there, they seep into the soil and groundwater. That might not sound dramatic, but it messes with the natural balance underground. Soil microbes—the tiny organisms that help break down organic matter and cycle nutrients—start to die off or shift. This can hurt plant life, reduce fertility, and throw off the delicate systems that keep ecosystems running.
  • They build up in fish—and everything that eats them. In water, PFAS latch onto fish and other aquatic life, especially in their blood and organs. And they don’t just disappear—they stay there. So when a bigger animal eats that fish, the PFAS move up the food chain. Over time, predators like birds, mammals, and even people can end up with the highest levels in their bodies. Researchers have found PFAS in over 600 species, and not just trace amounts—enough to affect immune systems, harm reproductive organs, and interfere with development. That’s a big deal for wildlife populations already under stress.
  • They disrupt entire ecosystems. This isn’t just about individual animals getting sick. PFAS can alter whole ecosystems by affecting the microbes, insects, and smaller species that bigger ones depend on. When that foundation shifts, it weakens everything above it—from clean water and healthy plants to birds, fish, and mammals. It’s like pulling out the bottom layer of a Jenga tower.
  • Cleanup is a nightmare. And here’s the tough part—once PFAS get into the environment, getting them out is incredibly difficult. Most regular water treatment systems don’t catch them. Specialized tech like activated carbon or ion exchange can help, but it’s expensive and not always effective. Cleaning up contaminated soil is even harder, since PFAS are so spread out and resistant to breakdown.
  • The damage isn’t going away. Because PFAS degrade so slowly, they stick around long after the original source is gone. Wildlife stays exposed. Food chains stay contaminated. And communities near these sites live with the fallout for years—sometimes generations.

If you want to see how this affects wildlife near you, check the detailed interactive map of Environmental Working Group.

Suboxone Class Action Lawsuit News and Updates

Stay informed with the latest developments in the Suboxone litigation.

  • January 14, 2025: Next MDL Hearing Date: This hearing will likely provide updates on the Suboxone class action lawsuit and address ongoing legal motions and case management issues.
  • January 7, 2025: 38 New Cases Added: The Suboxone MDL saw a rise of 38 new cases in January, bringing the total to 716 pending lawsuits. This increase follows a significant drop in October, showing fluctuating activity in the ongoing litigation.
  • January 3, 2025: Court’s Ruling on Motion to Dismiss: A recent ruling allowed key claims from plaintiffs to move forward. The court upheld claims about the drugs design defect and failure to warn about dental risks. This is an encouraging step for victims, even though some claims were dismissed.
  • December 8, 2024: The Product Hop Strategy: The makers of Suboxone used a strategy called “product hopping” to delay generic alternatives by introducing the film version. However, they reused outdated safety data, failing to update risks like dental damage, leading to significant lawsuits.
  • November 7, 2024: High Dental Costs for Victims: Many Suboxone users face hefty dental repair bills, often over $20,000. These costs include major procedures like root canals and implants due to severe tooth decay and damage linked to the drug.
  • November 5, 2024: New Order in MDL: A new order requires plaintiffs to submit detailed documentation, including evidence of Suboxone use and dental injuries. This step is crucial to moving the litigation forward.
  • November 1, 2024: MDL Case Count Rises: The total number of cases in the MDL increased to 678 after a slow period. The ongoing tolling agreement has slowed the filing process, though some cases are still being added.
  • October 25, 2024: Settlement Amounts Tied to Injury Severity: Settlement payouts will vary based on the severity of dental injuries. Those with severe, lasting damage are expected to receive higher compensation due to the costly and long-term nature of their treatments.
  • October 15, 2024: Lack of Warnings Affects Choices: The lawsuits argue that if patients had been properly warned about Suboxone’s dental risks, they might have chosen alternative treatments. This lack of information led many to unknowingly suffer dental damage.
  • October 6, 2024: Correcting Filing Mistakes: Plaintiffs corrected an error in filing that caused some individuals to be left out of an important submission. This issue has now been resolved.
  • October 1, 2024: No New Cases Added: There were no new cases in September due to the tolling agreement, which allows plaintiffs to file claims without taking formal legal action.
  • September 25, 2024: Pre-2018 Cases are Key: Most Suboxone lawsuits focus on the brand-name version used before 2018, when generics became more widely available. These earlier versions are associated with the dental damage claims at the heart of the litigation.
  • September 7, 2024: MDL Status Conference: A status conference was held to discuss the litigation’s progress, with another conference scheduled for early October.
  • August 30, 2024: Motion to Dismiss Arguments: The defense’s motion to dismiss the lawsuits was discussed, with plaintiffs arguing that their failure to warn claims should proceed despite federal law defenses.
  • August 25, 2024: Response to Motion to Dismiss: Plaintiffs rejected the defense’s claims of preemption and argued that the drug’s design defect should be addressed. They also emphasized that the failure to warn about the risks was unlawful.
  • August 14, 2024: Plaintiff Leadership Appointments: Additional attorneys were appointed to help manage the growing Suboxone MDL case load, ensuring that key decisions are made efficiently.
  • August 5, 2024: Case Count Update: The total number of cases dropped slightly, but the tolling agreement remains in effect for many plaintiffs, allowing them to preserve their claims.
  • July 31, 2024: Motion to Dismiss Filed: Defendants filed a motion to dismiss, arguing that federal law should preempt state law claims. This issue will be debated in upcoming hearings.
  • July 23, 2024: Critical Document Production: The defendants are working to provide crucial documents about Suboxone’s design and safety. These documents will play a key role in advancing the case.
  • July 3, 2024: Tolling Agreement Update: Discussions continue to convert federal court filings into a formal tolling agreement, pausing the statute of limitations for those involved.
  • July 1, 2024: Jurisdiction Matters: Certain states, including Florida and Michigan, have longer deadlines for filing Suboxone claims, which could be important for victims seeking justice.
  • June 24, 2024: MDL Denies Defense Motion: Plaintiffs scored a victory when the judge rejected a defense motion to delay case-specific discovery, allowing the litigation to move forward.
  • June 20, 2024: Suboxone Lawsuit Numbers Soar: The Suboxone class action lawsuit now includes nearly 10,000 plaintiffs, reflecting the scale of the ongoing litigation.
  • June 11, 2024: Merck & Co. Updated Canadian Warning in March 2023: Merck updated its Canadian warnings in March 2023, noting that Suboxone users could experience dental problems like cavities, decay, and tooth loss. This update came over a year after the FDA issued a similar warning in January 2022.
  • June 5, 2024: Hearing on General Causation Bifurcation: Hearing will address whether general causation should be separated from other case-specific discovery in the Suboxone lawsuits. Plaintiffs argue this is unnecessary since there’s strong evidence linking Suboxone film to dental erosion and separating discovery would delay the case.
  • May 30, 2024: Texas Resident Files Suboxone Lawsuit: A Texas resident filed a lawsuit claiming Suboxone film caused severe dental damage. The plaintiff argues that Indivior and others failed to warn about these risks and seeks damages for permanent dental harm.
  • May 17, 2024: Resolution on Tolling Issue: By June 14, 2024, plaintiffs will file complaints on the MDL docket, listing individual cases. This will reduce the need for separate lawsuits. Defendants might file a motion to sever by July 1, 2024.
  • April 18, 2024: New Suboxone Lawsuit Filed by New York Plaintiff: A New York plaintiff filed a lawsuit after suffering dental damage from Suboxone film, prescribed for opioid addiction. The plaintiff was not warned of dental risks and now faces permanent tooth damage.
  • April 17, 2024: Indivior Pushes for General Causation Focus: Indivior wants the discovery phase to focus on proving general causation, arguing that without scientific evidence linking Suboxone to dental damage, further discovery would be inefficient.
  • April 10, 2024: Lawyers Dropping Unresponsive Clients: Suboxone lawyers are starting to drop clients they can’t reach as they rush to file claims in MDL cases, especially in states with a two-year statute of limitations.
  • March 19, 2024: Judge Calabrese Sets Protocol for Filing: Judge Calabrese has set protocols for direct filing in the MDL, making it easier for plaintiffs to file their cases. This includes waiving formal summons for most defendants, except Reckitt Benckiser.
  • March 11, 2024: New Video on Suboxone Lawsuit: A new video explains the progress of the Suboxone lawsuit and discusses potential settlement amounts.
  • March 8, 2024: First Suboxone Status Conference: The first status conference for Suboxone litigation was held. Lawyers believe Judge Calabrese is eager to move the case forward.
  • March 7, 2024: Defendants Propose Gradual Discovery: Defendants want to start discovery by focusing on general causation. Plaintiffs disagree, saying it’s unnecessary and will delay the case.
  • March 5, 2024: Federal Judge Approves $385 Million Settlement: A judge approved a $385 million settlement in a different Suboxone lawsuit, where Indivior was accused of monopolistic practices. This is separate from the dental injury lawsuits.
  • March 4, 2024: New Suboxone Lawsuit Filed for Pennsylvania Woman: A Pennsylvania woman filed a lawsuit after developing dental decay from Suboxone, which she was prescribed in 2016. There was no warning about this risk until 2022.
  • March 1, 2024: 51 Pending Cases in MDL: The Suboxone tooth decay class action MDL now has 51 cases, with more expected to join soon.
  • February 19, 2024: New Suboxone Lawsuit Filed: A Pennsylvania resident filed a new Suboxone lawsuit over dental damage caused by the film. The lawsuit seeks compensatory and punitive damages.
  • February 13, 2024: Case Management Order No. 1 Released: The first case management order for Suboxone lawsuits outlines initial steps to organize the litigation.
  • February 4, 2024: Suboxone Lawsuit Gains Momentum: The Suboxone lawsuit is gaining momentum as lawsuits are consolidated, and settlement payout estimates are increasing.
  • January 30, 2024: Study Suggests Suboxone for Pregnant Women: A study suggests pregnant women should consider Suboxone over methadone for opioid treatment due to lower birth defect risks.
  • January 26, 2024: JPML Panel Meets on Lawsuit Consolidation: The JPML Panel met to discuss consolidating Suboxone lawsuits into a class action MDL.
  • January 16, 2024: New Suboxone Lawsuit Filed in Pennsylvania: A Pennsylvania resident filed a Suboxone lawsuit for dental damage, claiming no warnings were given about the risks when the drug was prescribed in 2013.
  • January 11, 2024: More Suboxone Lawsuits Expected: More Suboxone lawsuits are expected before the MDL hearing at the end of the month, demonstrating the volume of cases.
  • January 4, 2023: Suboxone Medication Guide Lacks Warning: The medication guide for Suboxone film doesn’t include a warning about tooth decay risks, even though it’s in the prescribing information.
  • January 2, 2023: Thousands of Suboxone Cases Under Investigation: There are at least 15 Suboxone cases pending in federal courts, with many more under investigation across the country.
  • December 13, 2023: Defendants Agree to MDL Creation: Suboxone defendants agreed to create an MDL for tooth decay lawsuits and requested it be assigned to Judge Calabrese in Ohio.
  • November 27, 2023: Plaintiffs Petition for MDL Consolidation: Plaintiffs filed a petition to consolidate all Suboxone lawsuits into a single MDL in Ohio for efficiency.
  • November 3, 2023: 14 New Suboxone Lawsuits Filed: 14 new Suboxone lawsuits were filed, 8 of which were in Ohio, the district with the most pending cases.
  • November 2, 2023: Ohio Man Files Suboxone Lawsuit: A man from Ohio filed a lawsuit after suffering dental damage from Suboxone, which was prescribed to treat opioid addiction.
  • October 30, 2023: Indivior Faces Two Legal Battles: Indivior is defending against both tooth decay lawsuits and a false claims lawsuit for an illegal kickback scheme.
  • October 24, 2023: Indivior Settles for $385 Million: Indivior agreed to settle an antitrust lawsuit for $385 million, accusing them of blocking generic Suboxone competition.
  • October 16, 2023: Ohio Man Files Suboxone Lawsuit: An Ohio man filed a lawsuit after using Suboxone for opioid addiction treatment, suffering severe tooth decay.
  • June 2022: FDA Safety Warning Updated: The FDA updated the Suboxone label to include warnings about dental risks like tooth decay.
  • January 2022: FDA Adds Warnings About Dental Risks: The FDA updated the Suboxone label to warn about the risk of dental issues, including cavities and tooth decay.

Suboxone Settlement

The Suboxone settlement is about potential compensation for those who’ve had dental problems like tooth decay and erosion from using Suboxone sublingual films. The process is still ongoing, and there may be more updates as the case moves forward. Here are the key points:

  • As of January 2025, no settlements have been finalized for dental issues related to Suboxone. The cases are still part of the MDL (Multi-District Litigation) in Ohio, with over 700 claims. 
  • Settlements are expected around mid-2025 or later due to legal deadlines and the company’s efforts to limit new claims. 
  • Estimated payouts could range from $50,000 to $175,000, depending on the details of each case. 
  • The MDL is gearing up for bellwether trials, which will help show how juries might rule on important issues, potentially affecting settlement discussions. 
  • After a Suboxone settlement is reached, it can take 6 to 12 months for payouts to be distributed. This time is needed for reviewing claims and resolving legal issues. 
  • Indivior, the company behind Suboxone, has settled other lawsuits in the past, including a $1.4 billion settlement for deceptive marketing and a $600 million settlement for illegal activities, but these were not related to dental problems.

Suboxone Settlement Payouts and Compensation

If Suboxone has caused dental issues, it’s important to know what compensation to expect. While every case is unique, here’s what you need to know about the Suboxone settlement and the potential Suboxone settlement payout per person:

  • Suboxone Lawsuit Payout Per Person: Your payout will depend on the severity of your dental problems and treatment needs. On average, payouts range from $50,000 to $175,000, but it could vary based on your medical history and evidence.
  • Suboxone Settlement Checks: After a settlement, Suboxone settlement checks are issued. However, it can take several months for payouts due to claim verification and legal processes.
  • Suboxone Settlement 2024: Ongoing cases are expected to lead to more settlements by mid-2025. Your payout may depend on recent trial results and negotiations.

An attorney can help you in the Suboxone settlement process and ensure you get fair compensation.

What Determines Suboxone Settlement Payouts per Person?

Suboxone settlement payouts can vary based on several factors, and each case is unique. Here’s what could affect your payout:

  • Extent of your oral injuries: More severe dental issues, like widespread decay or multiple fractures, may lead to higher compensation. 
  • Cost of dental or medical bills: The amount you’ve spent on treatments will be considered when calculating your potential payout. 
  • Lost wages: If your dental problems kept you from working or affected your daily life, your settlement could include compensation for lost income. 
  • Permanent damage or long-term effects: If your dental issues are permanent or will need ongoing treatment, this could increase your payout. 
  • How long you used Suboxone: People who have used Suboxone for a longer period may receive a larger payout in some cases. 
  • Emotional distress: The mental toll of dealing with significant dental issues, like anxiety or depression, can also be factored into your compensation.

Our lawyers at Ethen Ostroff Law will consider all these factors to help ensure you get full compensation.

Who Can File a Suboxone Lawsuit?

If you’re wondering whether you qualify for a Suboxone lawsuit, here’s a simple breakdown of what you need to know. To move forward, you’ll need to meet certain criteria based on your treatment, dental history, and injuries.

  • You must have taken Suboxone strips sometime between 2011 and January 2022. 
  • For states with shorter deadlines to file (1- or 2-year statute of limitations), your use must have started before 2018. 
  • You need to have used Suboxone for at least six months. 
  • You should have dental records showing your condition before using Suboxone. 
  • If you noticed dental problems after using Suboxone, you must have visited a dentist. If you haven’t yet, you typically have 60 days from signing any legal agreement to see one. 
  • You cannot have used illicit drugs during your Suboxone treatment (heroin use is an exception). 
  • You also must not have been incarcerated for drug-related issues. 
  • When you became aware of the Suboxone litigation may impact your eligibility, especially in states with shorter time limits to file. 
  • You need to have tooth loss or extractions (at least three teeth), severe tooth decay or damage, or broken or fractured teeth. 
  • You must have had Significant dental work, such as fillings, crowns, or other repairs. 
  • Dental implants or plans for implants to address missing teeth.

These guidelines are in place to make sure your case aligns with the issues being addressed in the Suboxone litigation. If you think you meet these qualifications, it’s important to discuss your situation with an attorney who can confirm your eligibility and guide you through the process.

What Evidence Do You Need for a Suboxone Lawsuit?

If you’re filing a Suboxone lawsuit or joining the Suboxone class action lawsuit, evidence is key to showing how the medication caused your dental issues. Think of this as building a case to connect your Suboxone use with the damage to your teeth. Here’s a closer look at what you’ll need:

  • Medical records: showing your Suboxone prescription, how long you used it, and any side effects your healthcare provider noted. 
  • Dental health records: like dentist’s notes about the condition of your teeth and gums, any diagnoses, and the treatments you’ve undergone will help demonstrate the harm caused. 
  • Prescription details: confirming you were prescribed and regularly using Suboxone can tie the medication directly to your injuries. 
  • X-rays of your damaged teeth: giving a clear picture of the extent of tooth damage and decay caused during or after your Suboxone treatment. 
  • Visual proof: like photos or videos, showing how your dental condition has worsened or how treatments have impacted your life, can add a personal and compelling element to your claim. 
  • Additional evidence: such as dental treatment plans, a list of medications, or itemized costs for dental care, can further strengthen your case.

All of this information helps connect your Suboxone use to the dental problems you’ve experienced. A strong collection of evidence helps support your claim, highlight the severity of your injuries, and improve your chances of fair compensation. If you’re unsure how to gather everything you need, an attorney at Ethen Ostroff Law can walk you through the process and make sure no important details are overlooked

Steps to File a Suboxone Tooth Decay Lawsuit

Filing a lawsuit for Suboxone-related tooth decay can be straightforward with the right guidance. Here’s how it works:

  • Talk to a lawyer: Start with a consultation to see if you qualify and understand the process. 
  • Gather records: Work with your lawyer to collect medical and dental records showing your Suboxone use and related dental treatments. 
  • Track your losses: Document expenses like medical bills, lost income, and how your dental issues have impacted your life. 
  • File the claim: Your lawyer will file your case within the MDL, explaining your injuries and damages. 
  • Share evidence: During the discovery phase, you may need to share records, answer questions, or give a statement to support your case. 
  • Settle or go to trial: Most cases settle, but if no agreement is reached, the case may go to trial for a decision.

With a lawyer at Ethen Ostroff Law, these steps become manageable, helping you pursue the compensation you deserve.

Suboxone Lawsuit Deadline

Time is critical when filing a Suboxone tooth decay lawsuit. Each state has a statute of limitations, which sets a strict deadline for taking legal action. Once this deadline passes, you lose the chance to seek compensation for your dental injuries. To protect your rights and ensure your claim is filed on time, contact Ethen Ostroff Law as soon as possible. Acting quickly increases your chances of securing justice and compensation.

Damages in Suboxone Lawsuits

When you file a Suboxone lawsuit, damages are what you can recover for the losses you’ve experienced because of your dental issues. Your lawyer will look at everything you’ve been through—financially, physically, and emotionally—to make sure you get full compensation. Here’s what that might include:

  • Compensation for all past and future medical costs: related to your dental problems, like exams, treatments, and follow-ups. 
  • Coverage for the cost of restorative procedures: like root canals, crowns, implants, or dentures. 
  • Recovery for any income lost: due to time off work or reduced ability to work because of dental issues. 
  • Damages for physical pain and emotional distress: caused by ongoing dental problems. 
  • Compensation for how dental issues affect your ability to enjoy: daily activities, social life, and work. 
  • Compensation for lasting physical limitations: if dental injuries result in permanent disabilities. 
  • Coverage for the emotional toll: like anxiety or lowered self-esteem, due to visible or painful dental injuries. 
  • Additional compensation if the manufacturer acted recklessly or negligently: aimed at holding them accountable and deterring future harm.

Damages are about fixing your teeth and addressing the bigger picture of how the Suboxone injuries have affected your life.

How a Lawyer Can Help with Your Suboxone Dental Injury Lawsuit

At Ethen Ostroff Law, we understand how frustrating and upsetting it can be to deal with health issues caused by Suboxone. We aim to make the lawsuit process as easy as possible so you can focus on getting better. Here’s how we can help you with your Suboxone lawsuit:

  • We’ll review your case for free to see if you’re eligible to take legal action. 
  • Our team will gather medical and dental records to prove your dental issues were caused by Suboxone. 
  • We’ll file your lawsuit on time. 
  • We’ll work to settle your case quickly so you can get the compensation you deserve. 
  • If a Suboxone settlement isn’t possible, we’ll fight for you in court.

Choose Ethen Ostroff Law

You shouldn’t have to suffer because of a pharmaceutical company’s mistake. Seek compensation for your pain and hold them accountable by filing a case. When dealing with a Suboxone dental injury lawsuit, you need a law firm that understands what you’re going through and will help you. At Ethen Ostroff Law, we know how to get results, treating each case with the attention it deserves. With our free case evaluations, we’ll determine if you qualify for legal action. With us, you can trust that we’ll make the legal process as smooth as possible and secure fair compensation.

Frequently Asked Questions on Suboxone Settlement

The timeline varies, but it could take several months to a few years after filing, depending on settlement negotiations and legal processes. You may expect payments to start after the settlement is finalized.

Payouts typically range from $50,000 to $175,000 per person, depending on the severity of your dental issues and the details of your case.

To claim your settlement, you’ll need to file a lawsuit or join the existing Suboxone class action lawsuit, provide the necessary documentation, and work with your attorney to complete the claims process.

Thousands of people have joined the lawsuit, with more than 700 cases currently in the Suboxone class action lawsuit. The exact number continues to grow as new cases are added.

Direct purchasers of Suboxone are eligible for a separate settlement, which involves the manufacturer’s pricing practices. The Suboxone settlement amount will vary based on their specific involvement.

His career began in public service as a Surveillance Officer in Maricopa County, where he gained firsthand experience in high-stakes decision-making and developed a deep sense of discipline and accountability. He later served as Chief Operating Officer of a fast-growing law firm, driving efficiency, revenue growth, and team development. Today, Ryan focuses on helping law firms reach their full potential by aligning people, processes, and long-term vision. A strategic thinker and empowering leader, Ryan is passionate about developing others and guiding organizations through meaningful, lasting growth.

Passionate about securing legal rights, Joseph actively participates in pro bono work through various organizations, including Christian Legal Aid of Pittsburgh and the ABA Military Pro Bono Project. Licensed to practice in Pennsylvania and the U.S. District Court for the Western District of Pennsylvania, he is a member of the Allegheny County and Pennsylvania Bar Associations. Outside of work, Joseph enjoys sports, reading, and creative writing, and has been involved in rowing and curling. He resides in Mt. Lebanon, Pennsylvania, with his parents.

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While in law school, he distinguished himself as Executive Editor of JURIS Magazine, received the prestigious CALI Excellence for the Future Award, and completed five hands-on internships that laid a strong foundation for his legal career.


Nicholas began his post-graduate career clerking for the Honorable Linda Rovder Fleming in the Cambria County Court of Common Pleas. From there, he quickly found his calling in workers’ compensation, personal injury, and Social Security disability law—areas where he could directly impact people’s lives in moments of crisis. He’s helped clients navigate complex legal claims, including securing a settlement exceeding $300,000.

Nicholas brings clear communication, genuine empathy, and an unrelenting drive to achieve the best outcomes for his clients. Whether he’s navigating a complex workers’ comp claim or pushing for a major settlement, he brings focus, dedication, and deep legal knowledge to every case.

He’s also a proud member of Pennsylvania Advocates for Justice and remains active in various professional legal organizations. Nicholas is licensed to practice law in Pennsylvania.

When he’s not fighting for the injured, Nicholas is enjoying time with his family, kicking a soccer ball around, hitting the golf course, or cheering on Pittsburgh’s local teams.

Joe Ring heads the workers’ compensation department at Ethen Ostroff Law, where he takes pride in fighting for injured workers.

Joe is a Philadelphia native and maintains deep roots in the area.  As the grandson of a Philadelphia Firefighter, son of a Philadelphia public school teacher, and veteran of the United State Marine Corps, he was taught to value service, dedication, and hard work.   He applies these values to every case and takes great satisfaction in representing hard-working clients with those same traits.

After obtaining his bachelor’s degree in history from St. Vincent College in Western Pennsylvania, he graduated from Villanova Law School in 2012 and, since then, has litigated hundreds of workers’ compensation hearings and trial depositions on behalf of both employers and injured workers.  During this time, Mr. Ring has written articles and presented Continuing Legal Education courses on developments in Pennsylvania Workers’ Compensation Law.  He is active in local professional organizations, and, in 2022, he served a Co-chairperson of the Philadelphia Bar Associations Workers’ Compensation Section.

Since coming to EOL in 2024, he has dedicated his practice entirely to helping injured workers navigate the system and obtain their rightful benefits.

Joe is licensed to practice in Pennsylvania.

Brandon Zanan heads the personal injury claim department with Ethen Ostroff Law.

Brandon’s education in both law and medicine assist him in expertly representing badly injured victims. Brandon has a Master’s Degree in Forensic Medicine from the Philadelphia College of Osteopathic Medicine, with a concentration in anatomy and pathology. With this knowledge,  Brandon is skilled at analyzing medical records and understanding injuries that are common in personal injury claims. He uses this expertise in conjunction with listening carefully to each client’s needs, in order to fiercely advocate for clients and tell their stories when they would not otherwise have a voice.

Brandon’s background includes a variety of experience and skills in various areas of civil practice. He is the author and editor of numerous books for the George T. Bisel Publishing Company, including “Pennsylvania Damages” and the “Pennsylvania Vehicle Code Annotated,” two texts that are frequently relied on by lawyers and judges across Pennsylvania as authoritative resources on personal injury law.

Brandon is a member of the Pennsylvania and Montgomery Bar Associations. He is also a member of Pennsylvania Association for Justice, and has served as an executive board member of the Montgomery American Inn of Court.

He is admitted to practice in the Commonwealth of Pennsylvania, the United States District Courts for the Eastern District of Pennsylvania and Middle District of Pennsylvania, the State of New Jersey, the United States District Court for the District of New Jersey, and in the Commonwealth of Virginia. Brandon has represented many clients in motor vehicle, premises liability, animal bite, and products liability cases across Pennsylvania and New Jersey and has obtained outstanding results with millions of dollars recovered for his clients.

He has been named a Pennsylvania Rising Star from 2021 onward. The “Super Lawyers-Rising Star®”, list recognizes no more than 2.5 percent of attorneys in each state

Brandon currently lives in Malvern with his wife Rachel and their son Max.

Ethen Ostroff Law, PLLC Terms and Conditions

Effective Date: July 10, 2024

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