Dental Services Research Articles

Trust in the dentist and intention to return: a cross-sectional study

Objectives: This study aimed to analyze patients’ confidence and intention to return to the dentist who last performed dental care, and to verify associated factors. Methods: From a cross-sectional study, the sample consisted of 378 patients aged 15 years or older who underwent dental treatment in different locations in a city in southern Brazil. A self-administered questionnaire regarding affection and cognition with the dentist, confidence, and intention to return to dental service, life satisfaction, and sociodemographic questions formed of the data collection instrument. Results: Data were analyzed using a binary logistic regression model. Patients who had affection and cognition with their dentist (PR=2.01; 95%CI 1.73-2.32) and were satisfied with their lives were more likely to trust their dentist and return for dental care (PR=1.11; 95%CI 1.05-1.23). The positive aspects of cognition and affect for the dentist as well as life satisfaction influence the confidence in, and intention to return to the professional who performed the last dental procedure. Conclusions: The subjectivities of dental care and treatment, as well as professional behavior, are approaches that must be incorporated during dental training.

Effectiveness of School Fluoride Delivery Programs: A Community Guide Systematic Review.

Although preventable, dental caries remains highly prevalent. Many children do not receive preventive dental services routinely in clinical settings. This review examined the effectiveness of school (preschool through high school) fluoride varnish delivery programs in preventing caries. Community Guide systematic review methods were followed. In 2024, databases were searched for studies published through December 2023 on school flouride varnish delivery program effectiveness in increasing fluoride varnish receipt and decreasing caries. Included studies had to be written in English, published in peer-reviewed journals, and conducted in upper-middle- or high-income countries. Data synthesis conducted in 2024 used median RR and interquartile interval (IQI) to summarize findings across studies. Of 31 included studies with 60,780 students, 25 were randomized controlled trials-20 with good quality of execution. Most studies were conducted in low socioeconomic status areas among students at elevated caries risk. School flouride varnish delivery programs reduced caries initiation by 32% (IQI: 21%, 37%) in permanent teeth (19 studies, 25,826 students) and by 25% (IQI: 4%, 37%) in primary teeth (12 studies, 4,304 students). Stratified assessments indicated findings were largely applicable to different settings, populations, and intervention characteristics. Two studies found school flouride varnish delivery programs significantly increased the number of annual flouride varnish applications and 2 found that school flouride varnish delivery program effectiveness was inversely related to socioeconomic status. About 30% of states report having no school flouride varnish delivery programs. Possible barriers to implementation include that Medicaid in some states only reimburses dental and medical professionals and does not reimburse non-dental providers for flouride varnish delivered to children older than age 6 years.

The Postal Life Insurance including dental services in Taiwan during the Japanese colonial period

The Postal Life Insurance including dental services in Taiwan during the Japanese colonial period

Educational Outcomes Associated With Undergraduate Dental Education in Primary Care and Community Settings in Europe: Findings From a Rapid Scoping Review.

Recent decades have seen the emergence of primary care and community (PCC) based dental education in settings that are separate to dental teaching hospitals, including general dental practice and salaried dental services. By mirroring care delivery in these services, this experience can facilitate students' transition to independent clinical practice. To identify educational outcomes associated with PCC-based undergraduate dental education in Europe. Web of Science, MEDLINE, CINAHL, Academic Search Complete and ERIC were searched, and peer-reviewed articles were selected based on inclusion criteria. Following data extraction, a narrative synthesis of findings was conducted with outcomes grouped and themed into five domains: 'practical skills'; 'teamwork and the business of dentistry'; 'preparedness for independent practice'; 'population and dental public health' and 'specialty specific outcomes'. Forty-seven studies from the UK, Germany, and Nordic countries were included. PCC-based education was noted for promoting teamwork and affording undergraduates experience in the operation of dental clinics. Improved practical skills relating to treatment planning, provision of holistic care, communication and clinical productivity were observed. Students also gained experience in population and dental public health, paediatric and special care dentistry. PCC-based dental education facilitates students in consolidating their learning and honing their skills in preparation for independent practice. The outcomes cited align with many of the objectives and intended learning outcomes of such programmes, as well as recommendations relating to education and workforce development outlined in the WHO global strategy and action plan on oral health.

Are Inflammatory Markers and Periodontitis Effective in Predicting Miscarriage?

Background/Objectives: Miscarriage is a common pregnancy complication that significantly impacts individuals’ health due to its physical and psychological effects. This study aimed to investigate the association between periodontal health and hematological parameters in women who experienced miscarriage before the 20th week of gestation, and to assess the potential predictive value of these parameters for miscarriage risk by comparing them with those of women with an uncomplicated pregnancy course. Methods: This study was a prospective case–control and cross-sectional study. It included a total of 82 participants, comprising 41 women with miscarriage and 41 healthy pregnant controls. The periodontal examinations included measurements of the Gingival Index (GI), Plaque Index (PI), Probing Depth (PD), Clinical Attachment Loss (CAL), and Simplified Calculus Index (SCI). Additionally, complete blood counts (CBCs) were obtained from all participants. Appropriate statistical analyses, including non-parametric, correlation, logistic regression, and ROC analyses, were conducted, with the significance level set at p < 0.05. Results: The primary outcome measure was CAL as an indicator of periodontal disease severity and its association with miscarriage risk. Additional outcomes included Plateletcrit (PCT), the Platelet Count (PLT), and the Neutrophil-to-Lymphocyte Ratio (NLR) to evaluate systemic inflammatory responses and their correlations with periodontal parameters. CAL was significantly elevated in the miscarriage group (p < 0.001) and emerged as the strongest predictor of miscarriage risk (OR = 0.0537, p < 0.001, AUC = 0.8691). PCT was significantly higher in the miscarriage group (p = 0.017) and positively correlated with the GI (p = 0.041), suggesting a link between systemic inflammation and periodontal health. Conclusions: Considering this study’s limitations, CAL was the strongest predictor of miscarriage, while PLT and PCT had some discriminative power. Collaboration between obstetricians and dentists can facilitate early diagnosis and intervention by promoting routine oral health check-ups before and during pregnancy. Additionally, integrating oral health assessments into prenatal care and developing public health policies could enhance access to dental services during both preconception and pregnancy periods.

Problem-based learning for Diploma Yi Jin students in pouring dental stone models

The government of Hong Kong has put much support in the training of dental care providers for high quality dental services. We designed a quality framework (QF) level 3 elective course in Diploma Yi Jin namely Basic Knowledge in Dental Sciences and Health Care to train students who would like to join the dental field. One teaching unit in casting dental stone model of Fixed and Removable Prosthodontics used the problem-based learning (PBL) task. PBL has been applied to many fields of study and training, it is different from the traditional learning methods with facilitating learning, and group discussions assisted by facilitators. PBL undeniably requires students to have certain knowledge to search for proper information. PBL also offers a peer group or cooperation study. After several practice in groups of pouring dental stone and peer discussion, we provide students with feedback from us showing their strengths and weaknesses in the whole procedure. By applying of PBL research type to produce a dental stone model from an impression trains the students the proper technique as required in clinical dental uses. This is a fundamental practical skill for a dental assistant in any dental clinics of Hong Kong.

АНАЛИЗ ДЕЯТЕЛЬНОСТИ МЕДИЦИНСКИХ ОРГАНИЗАЦИЙ РОСТОВСКОЙ ОБЛАСТИ, ОКАЗЫВАЮЩИХ СТОМАТОЛОГИЧЕСКУЮ ПОМОЩЬ НАСЕЛЕНИЮ

Analysis of factors influencing the work of the dental service is of crucial importance for any organization, since it affects the organization's desire to improve the provision of services and job satisfaction by both the doctors themselves and patients. The purpose of the study was aimed at studying the activities of organizations in the Rostov region providing dental services, taking into account the types of dental care, visits, specifics of the services provided, indicators of preventive work for the period from 2018 to 2023. The data for the analysis of the work were taken from statistical form No. 30 "Information about the medical organization" of the Rostov region and a market review of the dental service of the Rostov region for 2018-2023. Results. In the districts of the Rostov region, mixed reception for the provision of dental care is significantly developed, when doctors combine therapeutic interventions with surgical care.

Pathways of Socioeconomic Position in Oral Health Self-Perception in Brazil.

This study aims to explore the pathways through which socioeconomic position (SEP) at birth influences oral health self-perception in adolescence. A representative sample (N = 1,120) of all births from the 2004 Pelotas cohort was prospectively investigated. Interviews and clinical examinations were performed at 5 and 12 y. Gingivitis was assessed at 12 y. Dental caries (dmf-t/DMF-T), malocclusion, and the use of dental services were assessed at 5 and 12 y. SEP at birth (latent variable) was the main exposure. The outcome was a negative oral health self-perception at 18 y. Missing data were imputed using multivariate imputation. Structural equation modeling (SEM) was used to estimate the direct, indirect, and total effects from SEP to outcome. A negative perception of oral health self-perception was reported by 21.5% of the adolescents. SEP at birth influences, directly and indirectly, oral health self-perception at 18 y old. A direct effect (standard coefficient [SC] = -0.28, P < 0.001) and an indirect effect (SC = -0.04, P < 0.001) of SEP were observed on oral health self-perception. Dental caries at 12 y was the main mediator pathway between SEP and oral health self-perception with significant results (SC = -0.03, P < 0.001). The pathways through occlusal status at 12 y (P = 0.989) and gingivitis (P = 0.238) were not statistically significant. The total effect of SEP on negative self-perception of oral health was SC = -0.32 (P < 0.001). Thus, SEP at birth directly and indirectly influenced oral health self-perception at the age 18 y. SEM shows that the main pathway was direct. The main indirect effect was thought to be dental caries at 12 y.

A nation-wide study on snus and smoked tobacco: The Swedish Tobacco Cohort (SWETOC).

Smoking increases the risk of developing severe diseases. However, the effects of snus are less known. We aimed to create a cohort on tobacco exposure by collecting data from the Swedish Public Dental Service. The cohort will be used to study even rare health outcomes of both smoking and snus. In Sweden, 35% (2021) of the adult population and 85% (2021) of all children use the Public Dental Service. The dental practitioner asks about tobacco use and registers replies in patients' records. We have now assembled a database of all available such data in the country and linked them to other national health and social registers, forming the Swedish Tobacco Cohort (SWETOC). SWETOC is hence a cohort with prospectively designed data collection.ResultsOut of all 21 regions in Sweden, 19 participated, and approximately 5.5 million unique individuals provided tobacco data. Registrations dated from 1994 to 2023. All participating regions provided data from at least 2015 and forward. Overall prevalence for smoking was 12%, and 13% for snus. More men used snus than women, and there were regional differences in tobacco use patterns. Gender distribution was around equal at all age levels. Some regions provided additional tobacco information such as amount and type of product used, willingness for tobacco cessation, and notes in free text. SWETOC is a novel resource that can be used to close the current and future knowledge gaps regarding the health outcomes of smoked and smokeless tobacco.

Patient Satisfaction With Dental Services Provided by Dental Interns at Gulf Medical University Dental Training Hospital

Patient Satisfaction With Dental Services Provided by Dental Interns at Gulf Medical University Dental Training Hospital

1423-P: Trends and Risk Factors of Oral Health Conditions in Diabetes

Introduction and Objective: To evaluate the prevalence, trends, and risk factors of major oral health indicators across diabetes (DM) subgroups. Methods: 22,082 adults age 18+ were selected from the National Health and Nutritional Examination Survey 1999-2000 to 2017-2020. We included diagnosed DM (DxDM), undiagnosed DM (UnDxDM), prediabetes (PreDM), and euglycemic groups. We examined age, sex, and race-adjusted prevalence of 1) preventive dental service (annual dental check, self-dental cleaning); 2) oral health outcomes (missing teeth≥10, periodontitis, self-rated oral health). We used multivariable logistic regression to identify risk factors associated with two outcomes. Results: The prevalence of annual dental check decreased in the past 2 decades in DxDM and UnDxDM groups (65%-50%). Self-dental cleaning prevalence remained ~60% in DxDM and UnDxDM groups but increased to 74% in PreDM group. The prevalence of missing teeth≥10 remained low across subgroups (~10%). Periodontitis prevalence decreased in UnDxDM (64%-36%), PreDM (53%-31%) groups. The prevalence of poor or fair self-rated oral health decreased in DxDM (41%~19%), PreDM (24%-19%), Euglycemic (22%-16%) groups. In people with DM (Dx/UnDx), risk factors for lack of preventive dental service included low education, low income, smoking, and no insurance (Odd Ratios ranged 1.8-4.3). Older age, lower income, low education, racial/ethnic minority background, no insurance, smoking, and poor A1c control (ORs ranged 1.2-15) were risk factors for suboptimal oral health outcomes. Conclusion: In people with DM, preventive dental care prevalence declined. Low socioeconomic status, older age, insurance, smoking, and glycemic control are risk factors for preventive dental service use and poor oral health outcomes. Disclosure Y. Lu: None. Y. Yoshida: None.

Regional Disparities in User Perception of Oral Health in Brazil’s Primary Care: An Integrative Review

Aim: One of the alternatives used to evaluate the quality of dental services is the use of instruments, which provide an analysis of the user's perception of health care in the service. The study aims to identify regional differences in the quality of oral health in Primary Health Care (PHC) from the perspective of service users. Study Design: This is an Integrative Literature Review. Methodology: This is a qualitative study using the Scielo, Bireme and PubMed databases. By crossing the descriptors “Health Assessment”, “Primary Health Care”, “Oral Health”, and “Brazil”, 661 studies were obtained, of which 14 were selected for meeting the inclusion criteria. No specific and relevant studies were found for other regions of Brazil, such as the North, Central West regions. Results: The results of the studies in the different regions of Brazil showed similarities. It was found that women, elderly people, those with low levels of education and socioeconomic status were more expressive in the use and evaluation of services, exposing the need for Public Policies that recognize the user's vision as a means of improving the service provided by PHC.

Socioeconomic factors and feeding in the first two years of life associated with molar incisor hypomineralisation.

The main objective of this study was to evaluate the relationship between Molar Incisor Hypomineralisation (MIH) and socioeconomic factors in a sample of children in the Community of Madrid. An observational, descriptive, cross-sectional, and multicentre study was designed. After a previous calibration of all the examiners and following the diagnostic criteria of the European Academy of Paediatric Dentistry (EAPD), children between 8 and 16 years old were included from among the users of the dental services of eight primary care oral health units of the Madrid Health Service. The children underwent a dental examination, and the parents were asked to complete a questionnaire on possible socioeconomic factors related to the appearance of MIH. Factors such as sex, race, parental education, area of residence, exposure to tobacco and diet in the first two years of life were analysed. With MIH (yes/no) as the dependent variable, the χ2 test was used to compare categorical variables between MIH and non-MIH children. A logistic regression model was made with MIH (yes/no) as the dependent variable and the independent variables being those that were clinically relevant or significant in the bivariate analysis. Their associations are expressed as odds ratios (ORs). Females were significantly more likely to have MIH. The prevalence of MIH decreased with age. Residents in Parla had MIH more often than residents of other municipalities of the Community of Madrid. No other socioeconomic factor studied was associated with MIH. Residents in the municipality of Parla had a higher frequency of MIH, which was a municipality with a low per capita income. When comparing the presence of MIH in breastfed children, statistically significant differences were observed. Logistic regression, however, did not suggest that breastfeeding could influence the presence of MIH. Further study is warranted on possible socioeconomic risk factors for MIH, such as household income, to lower the incidence of this pathology.

Challenges in Accessing Dental Care for Special Care Populations in Jazan, Saudi Arabia: A Study among Health Professionals and Caregivers

Abstract Those with disabilities lack access to adequate dental health care services that are fundamental for maintaining their oral health. The study was primarily conducted to identify the actual barriers to dental care services for disabled patients. The study aimed to find the perfect solution capable of addressing the problems encountered by both dental practitioners and disabled patients.The present cross-sectional study was performed on 160 study subjects, 100 including parents and patients and 60 dental professionals including consultants, dental practitioners, interns, and dental undergraduate students, by using two self-administered structured questionnaires for both groups. The demographic variables and any information by parents and dental professionals that might be helpful in managing the treatment of disabled children were recorded. The data obtained was subjected to statistical analysis using IBM SPSS version 20.0 software.Note that 56.7% of the dental professionals who participated in the study were dental interns in the age group of 20 to 25 years belonging to the Saudi region. Majority of these dental professionals treated disabled children during their dental practice and even acquired specialized training for their management. While a majority of the hospitals comprise of renowned facilities for managing disabled children, right from parking facilities to wheelchairs, most of them lack special facilities like signboards, special toilets, adequate equipment, trained associates, pharmacy, etc. Most of the parents of these disabled children come from rural areas having only secondary education levels. A majority of the patients were physically disabled and suffered from dental problems, the most prevalent one being dental caries. Most parents discovered that the brushing methodology contributed to such dental problems. Few parents blamed the unavailability of equipment as a barrier to getting treated. Most parents were worried constantly over treatment costs and were fearful to get treated.Despite dental care provided to parents and caregivers of disabled individuals, it is our observation that the numbers are still inadequate in the Jazan region, Saudi Arabia. The most common barriers for this include treatment cost and the constant fear of getting the dental treatment done by a dental care provider.

All in for Integration: Oral Health in Interprofessional Education and Training.

Stark inequities exist in oral health care access with minoritized and marginalized populations facing more barriers to attaining care than the general population does. Considerably more individuals have access to primary health care than to dental services. The high prevalence of access to primary care services relative to dental services suggests a key role for primary care providers to address the oral health needs of patients. A limiting factor is a lack of uniformity of standards and curricula that exist for integrating oral health into primary care training disciplines. Based on the Center for Integration of Primary Care and Oral Health's (CIPCOH) research over the past 5 y, we have developed broad recommendations for training programs across the primary care spectrum: (1) support champion training programs that incorporate promising and/or best practices, (2) incorporate oral health into interprofessional standards, and (3) establish a curricular and evaluation framework for oral health integration into primary care training.Knowledge Transfer Statement:The recommendations from this article can be used by primary care educators and policy makers to better integrate oral health into primary care training programs and ensure a competent primary care workforce.

Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings.

This qualitative study aimed to understand dental professionals' perspectives and practices regarding preventive dental care for very young children and preventive oral health services (POHS) provided outside of dental practices. Semi-structured interviews were conducted on Zoom with a purposive sample of dental professionals in Massachusetts between December 12, 2022, and June 15, 2023, until theoretical saturation was reached. The Consolidated Framework for Implementation Research was the study's conceptual framework. Applying Charmaz's approach to grounded theory, transcripts were coded line-by-line in an iterative process, using memos and axial coding to identify themes. Twenty-eight interviews were conducted with general dentists (n = 18), pediatric dentists (n = 5), registered dental hygienists (n = 3), a dental assistant (n = 1), and a dental administrator (n = 1). Major themes included: (1) facilitators and barriers to providing preventive dental care for children under 3 years old; (2) perceptions of POHS delivery outside of dental practices and care coordination; (3) public policies potentially impacting the provision of preventive dental care for young children; and (4) potential levers for change to improve receipt of recommended preventive dental services. Sub-themes included training, concerns about the quality of care in non-dental sites, public insurance barriers, and increasing joint dental-medical curriculum programs. Potentially modifiable barriers were identified at provider, practice, and policy levels. Further research is needed regarding the financial impacts of public insurance reimbursement rates, the potential role of bias in access to preventive dental services, and the effects of systematic accountability for performance on quality and equity measures related to preventive dental care.

The Influence Of Factors In Dental Practice: Price, Facilities, Dentist Services, Staff Services, And Word Of Mouth With Patient Satisfaction And Patient Loyalty As Mediators At YDC Dental Clinic, East Jakarta

dentist services, and staff services, on word of mouth, with patient satisfaction and patient loyalty as mediators at YDC Dental Clinic. This research involved 181 patients. Data collection was carried out by distributing questionnaires containing 35 questions using a 1-5 Likert Scale based on a purposive sampling technique. Data were analyzed using the PLS-SEM method. The results of this study indicate that Price, Facilities, Dentist Services, and Staff Services positively and significantly influence Patient Satisfaction. Furthermore, Patient Satisfaction was proven to have a positive and significant effect on both Patient Loyalty and Word of Mouth. Additionally, Patient Loyalty also has a positive and significant influence on Word of Mouth. Although some service dimensions (Facilities and Dentist Services) did not show a direct significant influence on loyalty, the mediating role of Patient Satisfaction is crucial in shaping loyalty and word of mouth across all examined service dimensions. These findings affirm that patient satisfaction is the primary foundation driving loyalty and word-of-mouth promotion within the context of dental healthcare services.

Perceived Oral Hygiene Status, Dental Service Utilization and Treatment Needs of Medical and Nursing Students at A Tertiary Institution in Nigeria: a Cross-sectional Study

Objective To evaluate the perceived oral hygiene status, dental service utilization, and treatment needs of medical and nursing students at a tertiary institution in Nigeria. Methods This descriptive cross-sectional study was conducted among clinical medical and nursing students at the University of Port Harcourt. A semi-structured questionnaire was used to collect data on socio-demographic variables, perceived self-rated oral hygiene status, dental service utilization, and treatment needs. Statistical analysis was performed using SPSS version 25.0 (IBM SPSS Inc., Chicago, Illinois). Descriptive statistics were computed, and associations were tested using the chi-square test and Fisher's exact test where appropriate. A p-value &lt; 0.05 was considered statistically significant. Results A total of 155 participants were included, with 85 (54.8%) being clinical medical students and 70 (45.2%) being clinical nursing students. Only 6 (3.9%) of the medical students and 5 (3.2%) of the nursing students rated their oral hygiene as excellent. Dental clinic visits in the last 12 months were significantly higher among nursing students (50.0%) compared to medical students (32.9%), p = 0.031. More nursing students (67.1%) than medical students (49.4%) reported needing further dental treatment (p = 0.034). The most commonly required treatment was scaling and polishing. Conclusion The overall perception of oral hygiene among participants was suboptimal. While half of the nursing students visited the dental clinic in the past year, a significant proportion of medical students did not. There is a need for improved oral health awareness and preventive dental care promotion among medical and nursing students.

Education- and income-based inequalities of functional dentition by dental service utilization

IntroductionThis study analyzed the magnitude of education- and income-based inequalities in functional dentition (FD) among Brazilian adults between 2013 and 2019, considering dental service utilization.MethodsThis study based on repeated cross-sectional surveys using secondary data from a probabilistic sample of adults (18–59 years old) who participated in the 2013 and 2019 National Health Survey (NHS). Only individuals who reported having used dental services were included. FD was defined as having ≥21 teeth, based on self-reported tooth loss in the maxillary and mandibular arches. Variables included sex, age, education (years of study), and per capita family income (measured in minimum wages). Dental service utilization was assessed using the question “When was the last time you visited a dentist?” with responses dichotomized into “>1 year” and “≤1 year”. Absolute and relative inequalities in FD were assessed using the slope index of inequality (SII) and the relative index of inequality (RII), respectively, based on education and income. Generalized linear models (log-binomial regression) were applied with a logarithmic link function to estimate RII (rate ratios) and an identity link function to estimate SII (rate differences), adjusting for sex and age. Trends between 2013 and 2019 and differences in SII and RII by dental service utilization were assessed through two-way interaction terms in the models. All analyses accounted for the survey's complex sampling design and sample weights.ResultsThe prevalence of FD was 85.95% (2013) and 89.45% (2019) (p < 0.001). SII and RII indicated greater FD prevalence among higher socioeconomic groups, with the magnitude of education-based inequality higher than income-based inequality. Education-based inequalities decreased from 2013–2019. Educational inequalities were more pronounced among those who used dental services >1 year (p < 0.001), whereas income-based inequalities did not differ by dental service utilization (p > 0.05).ConclusionsDespite the reduction in FD education-based inequality in Brazil, persistent disparities were observed between socioeconomic groups, with the lowest inequalities found among adults who used dental services ≤1 year. This indicates the importance of interventions aimed at reducing barriers and promoting access to services for the most vulnerable populations.

Early School Medicaid Expansions and Health Services for Children With Parental Opioid Use Disorder

Children experiencing parental opioid use disorder are a growing population at heightened risk of physical and mental health issues over the life course. Yet these children are less likely to receive comprehensive, ongoing health care and their parents are more likely to report barriers to access health care for their children. School-based health services have potential to overcome some of these health care access barriers, including parental burden, transportation, time, costs, and health care discontinuity. In 2014, Medicaid revoked its longstanding free care rule, expanding the scope of school-based health services eligible for Medicaid reimbursement. Subsequently, some states began to expand their school Medicaid programs to benefit from the new federal rule. To estimate the early effects of state school Medicaid expansions on the receipt of Medicaid-funded school-based health services among children who have experienced parental opioid use disorder. This cohort study using nationwide Medicaid claims data included Medicaid-enrolled children aged 5 to 18 years who experienced parental opioid use disorder at any point before age 19 years. A difference-in-differences design that exploits the staggered implementation of school Medicaid expansions between 2014 and 2019 was used. Data were analyzed between January 2023 and January 2025. Children living in states implementing (treatment group) and not implementing (comparison group) school Medicaid expansions, before and after state-specific expansion dates. Binary measures indicating receipt of school-based health services, primary care, prevention, rehabilitative, dental, and mental health services, emergency department visits, and inpatient hospital stays. The sample comprised 6 628 404 person-years from 1 700 304 children. The mean (SD) age was 10.5 (3.9) years and 3 371 918 (51%) were male. School Medicaid expansions increased the receipt of Medicaid-funded school-based health services by 8.9 percentage points (pp; P = .01). Growth was primarily driven by school claims for nursing services (difference, 7.4 pp; P = .02) and for Early and Periodic Screening, Diagnostic and Treatment services (difference, 8.6 pp; P = .04). Reductions in emergency department visits among children aged 5 to 11 years were also documented (difference, -1.8 pp; P = .02). This cohort study found that, given the complex health and health care needs of children growing up amid the opioid crisis, integrating health care into schools may offer a promising policy solution.