A high clinical suspicion is the most important factor in quick diagnosis of aortic dissection. People with the Marfan syndrome who visit an emergency room with chest pain should inform the ER physicians and nurses that they have the Marfan syndrome and are concerned about a dissection. Symptoms vary, so people must be their own advocate. There is little research on the oral manifestations of the Marfan syndrome. Extracting teeth, which is often done to make room for new teeth and help alignment, is a last resort for people with the Marfan syndrome.
Bone loss is one of the consequences of extraction.
Extraction also carries the risk of infection which could cause endocarditis, a very serious condition for which people with mechanical heart valves and composite grafts are at high risk. It is also important for people with the Marfan syndrome to maintain the integrity of the arch as much as possible. However, extraction might be the only way to make space for other teeth. Braces may also be needed to achieve functionality. Palate expansion is not recommended for adults.