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Affiliation
1 Division of Adolescent Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Electronic address: anne.powell@umassmemorial.org.
Anne Powell. Pediatr Clin North Am. 2017 Apr.
Affiliation
1 Division of Adolescent Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Electronic address: anne.powell@umassmemorial.org.
Oral contraceptive pills (OCPs) continue to be the most commonly used form of prescription contraceptives used by adolescents in the United States. With proper use, oral contraceptives provide safe and effective birth control. Broad categories of OCPs include progestin-only pills (POPs) and combined oral contraceptive pills (COCs). Certain types of progestins have more potent antiandrogenic properties and are more effective in treating acne, hirsutism, and polycystic ovary syndrome. This article reviews types of OCPs, discusses risks and benefits of OCPs, and provides guidance for how to choose the most beneficial and appropriate OCP for individual adolescent patients.
Keywords: Combined oral contraceptive (COC); Oral contraceptive pill (OCP); Progestin-only contraceptive (POP); US medical eligibility criteria (US MEC); Venous thromboembolism (VTE).
Copyright © 2017 Elsevier Inc. All rights reserved.
Liang SY, Grossman D, Phillips KA. Liang SY, et al. Contraception. 2012 Dec;86(6):666-72. doi: 10.1016/j.contraception.2012.05.018. Epub 2012 Jul 6. Contraception. 2012. PMID: 22770791
Cholst IN, Carlon AT. Cholst IN, et al. J Adolesc Health Care. 1987 Jan;8(1):121-8. doi: 10.1016/0197-0070(87)90253-1. J Adolesc Health Care. 1987. PMID: 3546224 Review.
Foussard-blanpin O, Paillot-renaud P, Bruneau-bigot A. Foussard-blanpin O, et al. Lyon Pharm. 1984 Nov;35(6):385-93. Lyon Pharm. 1984. PMID: 12280590 French.
Tepper NK, Phillips SJ, Kapp N, Gaffield ME, Curtis KM. Tepper NK, et al. Contraception. 2016 Sep;94(3):262-74. doi: 10.1016/j.contraception.2015.05.006. Epub 2015 May 19. Contraception. 2016. PMID: 26002804 Review.
Tomaszewski J, Paszkowski T, Debski R, Kotarski J, Skrzypulec-Plinta V, Spaczyński RZ, Pawelczyk L. Tomaszewski J, et al. Ginekol Pol. 2012 Jun;83(6):417-23. Ginekol Pol. 2012. PMID: 22880460 Polish.
Abou-Ismail MY, Citla Sridhar D, Nayak L. Abou-Ismail MY, et al. Thromb Res. 2020 Aug;192:40-51. doi: 10.1016/j.thromres.2020.05.008. Epub 2020 May 11. Thromb Res. 2020. PMID: 32450447 Review.
Tsikouras P, Deuteraiou D, Bothou A, Anthoulaki X, Chalkidou A, Chatzimichael E, Gaitatzi F, Manav B, Koukoul Z, Zervoudis S, Trypsianis G, Galazios G. Tsikouras P, et al. Int J Environ Res Public Health. 2018 Feb 15;15(2):348. doi: 10.3390/ijerph15020348. Int J Environ Res Public Health. 2018. PMID: 29462872 Free PMC article.

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Oral health toolkit for adults in care homes
This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk.
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This publication is available at https://www.gov.uk/government/publications/adult-oral-health-in-care-homes-toolkit/oral-health-toolkit-for-adults-in-care-homes
Maintaining good oral health throughout life and into older age improves general health and wellbeing, and plays an important part in helping people stay independent.
The Care Quality Commission report Smiling matters: oral health care in care homes showed that too many people living in care homes were not being supported to maintain and improve their oral health. The report contained recommendations to improve the oral health of care home residents, including the implementation of the NICE guideline Oral health for adults in care homes.
The NHS long term plan highlights that individuals need to be supported to have good oral health, stay well hydrated and well-nourished. The NHS Long Term Plan (2019) contained a commitment as part of the Ageing Well Programme to roll out Enhanced Health in Care Homes across England. The implementation framework includes oral health care and what best practice looks like.
For local advice on how to improve oral health in care homes contact your consultant in dental public health in your PHE centre.
The oral health toolkit includes training materials, templates and links to publications. It’s a live document, with further resources added as they become available. The toolkit consists of the 5 sections below.
This section provides links to oral health information for care home residents and their families, friends and carers.
This section led by Health Education England includes training slides, a manual with further information, recorded webinars and a catalogue of online videos to support oral health training.
The documents for care home managers include care home policy templates, a quality assurance checklist and a baseline assessment to help care home managers put NICE guidance into practice.
This section contains links to care home-related publications.
This section contains documents and links related to care home commissioning.
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