My dentist referred me to an oral surgeon for three dental implants. I’m afraid that if I disclose methadone use, my case will be dismissed. Am I putting myself at risk for the surgery if I don’t mention methadone use? Thanks. Devin from NY
Devon,
It’s important to tell your oral surgeon that you’re on methadone, including how much and how often you take it. This allows them to adjust sedation appropriately, accounting for both the methadone levels in your system and the long-term effects of opioid use on your body.
Don’t Be Afraid to Tell a Doctor What Medications You Take
You might worry that disclosing your methadone use could lead to judgment or even refusal of care. However, in clinical practice, adjusting a sedation plan for patients on methadone is not complicated. If a provider isn’t willing to work with you on this, find someone who will. Your needs deserve to be taken seriously.
How to Choose a Provider for Dental Implants

Successful dental implant surgery requires disclosing your medical conditions and medication or drugs you take
Start with a general dentist if you want dental implants. Although some dentists refer patients to an oral surgeon or periodontist (dental implant specialist) for the implant surgery, treatment planning should begin with a general dentist experienced in implant dentistry.
Look for extensive training or credentials from dental implant education organizations, such as:
- International Congress of Oral Implantologists (ICOI)
- American Board of Oral Implantology (ABOI)
- Advanced coursework or residencies focused on implants
Some general dentists collaborate with surgeons, while others perform both the surgery and restoration themselves. The important thing is to verify that they have the right expertise. Schedule consultations with at least two implant dentists.
David Finley, DDS, a Monroe, Louisiana, accredited cosmetic dentist and Academy of General Dentistry Fellow, sponsors this post. Read about what Dr. Finley and his team do to provide some of the best dental care in Monroe.