An update on nicotine use in adolescents.

While traditional cigarette use has been on the decline among adolescents, other products, including e-cigarettes and oral nicotine have seen an uptick in use among this age group. These products have been marketed to younger age groups, with social media playing a role. E-cigarettes and oral nicotine have negative physical and health effects, despite e-cigarettes in particular being marketed as a safer alternative to traditional cigarettes. Awareness of these products, their health effects, and how to help with cessation is necessary for all providers taking care of adolescents.