{"data":{"matter":{"matter_id":"mat_5c445c740078a1","slug":"suboxone-tooth-decay","name":"Suboxone Tooth Decay / Dental Injury MDL","category":"mass_tort","subcategory":"pharma","status":"litigated","score":0.74,"score_30d":0.474,"velocity":0.1765,"headline":"Suboxone tooth decay and dental injury MDL - newly consolidated","summary":"Indivior's Suboxone sublingual films have been alleged to cause severe tooth decay, dental erosion, and tooth loss due to extended oral contact with the medication's acidic compounds. MDL No. 3092 was consolidated in the Northern District of Ohio in 2024. Suboxone is used for opioid use disorder treatment, so plaintiffs are typically long-term medication-assisted treatment patients.","eligibility_hint":"Used Suboxone sublingual films for at least six months and experienced severe tooth decay, dental erosion, or tooth loss","payout":{"band":"mass_tort","low_cents":500000,"high_cents":15000000,"low_usd":5000,"high_usd":150000},"keywords":{"products":["suboxone","buprenorphine","naloxone","sublingual film"],"brands":["indivior","reckitt benckiser"]},"links":{"primary":"https://www.ohnd.uscourts.gov/","self":"https://getclaimscout.com/api/v1/matters/suboxone-tooth-decay","html":"https://getclaimscout.com/matters/suboxone-tooth-decay","lp":null},"lifecycle":{"first_seen_iso":"2026-05-19T11:12:27Z","last_signal_iso":"2026-10-17T10:42:11Z","mdl_filed_iso":null,"settlement_announced_iso":null,"claims_open_iso":null,"claims_close_iso":null,"narrative_generated_iso":"2026-07-07T10:06:25Z"},"attached_cases_count":0,"embedding_model":null,"embedding_version":1,"schema_version":1},"attached_cases":[],"recent_signals":[{"signal_id":"sig_443347e3543a02","matter_id":"mat_5c445c740078a1","source":"courtlistener_search","source_id":"cl-search:74782767","kind":"court_filing","title":"CL filing: Fas-Tes Franchise Systems, LLC v. 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Abuse Treat., 138:108717 (2022), available at doi:10.1016/j.jsat.2021.108717.","summary":"Background Material","url":"https://www.regulations.gov/document/FDA-2026-N-10429-0006","score":0.5,"decayed_score":null,"keywords":{"brands":["indivior","reckitt benckiser"],"products":["suboxone","buprenorphine","naloxone","sublingual film"]},"provenance":{"feed":"regulations_gov_v4","doc_type":"Supporting & Related Material","file_url":null,"agency_id":"FDA","source_url":"https://www.regulations.gov/document/FDA-2026-N-10429-0006","posted_date":"2026-10-06T04:00:00Z","retrieved_at":"2026-10-18T10:50:48Z"},"resolved_by":"search_context","resolution_confidence":0.3,"first_seen_iso":"2026-10-07T13:07:58Z","last_seen_iso":"2026-10-18T10:50:48Z","schema_version":1},{"signal_id":"sig_825d749f783023","matter_id":"mat_5c445c740078a1","source":"regulations_gov","source_id":"reggov:FDA-2026-N-10429-0002","kind":"regulations_doc","title":"Reference 1 - Alper, K.R., Stajic´, M., and J.R. Gill, ‘‘Fatalities temporally associated with the ingestion of ibogaine,’’ J. Forensic Sci., 57(2):398–412 (2012), available at doi:10.1111/j.1556-4029.2011.02008.x.","summary":"Background Material","url":"https://www.regulations.gov/document/FDA-2026-N-10429-0002","score":0.5,"decayed_score":null,"keywords":{"brands":["indivior","reckitt benckiser"],"products":["suboxone","buprenorphine","naloxone","sublingual film"]},"provenance":{"feed":"regulations_gov_v4","doc_type":"Supporting & Related Material","file_url":null,"agency_id":"FDA","source_url":"https://www.regulations.gov/document/FDA-2026-N-10429-0002","posted_date":"2026-10-06T04:00:00Z","retrieved_at":"2026-10-18T10:50:48Z"},"resolved_by":"search_context","resolution_confidence":0.3,"first_seen_iso":"2026-10-07T13:07:58Z","last_seen_iso":"2026-10-18T10:50:48Z","schema_version":1},{"signal_id":"sig_79c3d4b84c67d6","matter_id":"mat_5c445c740078a1","source":"regulations_gov","source_id":"reggov:FDA-2026-N-10429-0004","kind":"regulations_doc","title":"Reference 3 - Knuijver, T., Schellekens, A., Belgers, M., Donders, R., van Oosteren, T., et al., ‘‘Safety of ibogaine administration in detoxification of opioid-dependent individuals: a descriptive open-label observational study,’’ Addiction, 117(1):118–128 (2022), available at doi:10.1111/add.15448","summary":"Background Material","url":"https://www.regulations.gov/document/FDA-2026-N-10429-0004","score":0.5,"decayed_score":null,"keywords":{"brands":["indivior","reckitt benckiser"],"products":["suboxone","buprenorphine","naloxone","sublingual film"]},"provenance":{"feed":"regulations_gov_v4","doc_type":"Supporting & Related Material","file_url":null,"agency_id":"FDA","source_url":"https://www.regulations.gov/document/FDA-2026-N-10429-0004","posted_date":"2026-10-06T04:00:00Z","retrieved_at":"2026-10-18T10:50:48Z"},"resolved_by":"search_context","resolution_confidence":0.3,"first_seen_iso":"2026-10-07T13:07:58Z","last_seen_iso":"2026-10-18T10:50:48Z","schema_version":1},{"signal_id":"sig_95c47225319d07","matter_id":"mat_5c445c740078a1","source":"regulations_gov","source_id":"reggov:FDA-2026-N-10429-0005","kind":"regulations_doc","title":"Reference 4 - Knuijver, T., ter Heine, R., Schellekens, A.F.A., Heydari, P., Lucas, L., et al., ‘‘The pharmacokinetics and pharmacodynamics of ibogaine in opioid use disorder patients,’’ J. Psychopharmacol., 38(5):481–488 (2024),\navailable at doi:10.1177/02698811241237873.","summary":"Background Material","url":"https://www.regulations.gov/document/FDA-2026-N-10429-0005","score":0.5,"decayed_score":null,"keywords":{"brands":["indivior","reckitt benckiser"],"products":["suboxone","buprenorphine","naloxone","sublingual film"]},"provenance":{"feed":"regulations_gov_v4","doc_type":"Supporting & Related Material","file_url":null,"agency_id":"FDA","source_url":"https://www.regulations.gov/document/FDA-2026-N-10429-0005","posted_date":"2026-10-06T04:00:00Z","retrieved_at":"2026-10-18T10:50:48Z"},"resolved_by":"search_context","resolution_confidence":0.3,"first_seen_iso":"2026-10-07T13:07:58Z","last_seen_iso":"2026-10-18T10:50:48Z","schema_version":1},{"signal_id":"sig_4f9ca3b38449a5","matter_id":"mat_5c445c740078a1","source":"regulations_gov","source_id":"reggov:FDA-2026-N-10429-0001","kind":"regulations_doc","title":"Design and Safety Considerations for Clinical Trials Involving Ibogaine Drug Products; Request for Information","summary":"Requests for Information (RFI)","url":"https://www.regulations.gov/document/FDA-2026-N-10429-0001","score":0.5,"decayed_score":null,"keywords":{"brands":["indivior","reckitt benckiser"],"products":["suboxone","buprenorphine","naloxone","sublingual film"]},"provenance":{"feed":"regulations_gov_v4","doc_type":"Notice","file_url":null,"agency_id":"FDA","source_url":"https://www.regulations.gov/document/FDA-2026-N-10429-0001","posted_date":"2026-10-06T04:00:00Z","retrieved_at":"2026-10-18T10:50:48Z"},"resolved_by":"search_context","resolution_confidence":0.3,"first_seen_iso":"2026-10-07T13:07:58Z","last_seen_iso":"2026-10-18T10:50:48Z","schema_version":1},{"signal_id":"sig_61c6e4539eb0dd","matter_id":"mat_5c445c740078a1","source":"courtlistener_search","source_id":"cl-search:74826272","kind":"court_filing","title":"CL filing: Smith v. 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