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heart and gastrointestinal defects, control infections with antibiotics, relieve endocrine gland malfunctions, and dental problems can be held in check through early measures against tooth decay, plus orthodontics and restorative dentistry to remedy crooked teeth.
With proper medical care average life expectancy is now almost the same as that of the general population. However, even with excellent nurturing and education, not many Down syndrome adults can be fully independent. Most will always need a protected home and work environment. Institutionalization may still be necessary in a minority of Down syndrome people with incredibly severe physical defects or developmental disability.