How does Fragile X syndrome affect dental management?
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How does Fragile X syndrome affect dental management?
Communication: Ask the patient and caregiver about communication, sensory triggers, and calming strategies; avoid forcing eye contact or inferring comprehension from gaze or speech
Visit structure: Short, predictable visits, visual schedules, the same team, a quiet room, and gradual desensitization
Seizures and medication: Review seizure control and medications (stimulants, SSRIs, antipsychotics, anticonvulsants)
Cardiac review: Review aortic root dilation and mitral valve prolapse; mitral valve prolapse alone does not need endocarditis prophylaxis.
Sedation decision: Escalate to sedation or GA after weighing cooperation, medical risk and treatment need