[Introduction] Recently, FKO is widely used as a functional orthodontic appliance. Patients normally use the device at night when FKO applies its orthodontic force to its maximum. However, because FKO is a removable orthodontic appliance, during clinical treatment, the patient often doesn't keep to the planned schedule. Therefore, the result of a procedure may not turn out exactly as anticipated. It was thought that the patient may dislike using the appliance because of a decrease in oral respiration capacity, and therefore desired to shorten the usage time as a result The purpose, therefore, of this study was to investigate whether the use of FKO decreased the oral respiration capacity of patients. No evidence was found supporting a change in patient's respiration volume when FKO was used, even though various documents were examined.
[Methods] The study subjects were six adults (three male and three female), who used test FKOs which were produced by the regular methods. The subjects then took turns to measure respiration of these unmodified FKOs. After that sevral holes were made in the front of the device (boned on the device's size) and the results were then re-measured. The measurement time was 15 minutes, with the first five minutes being excluded as a control. The study subjects were allowed to read while measurement of CO2 volume and respiration rate was in progress to help prevent undue attention on their breathing. The following nine modes were investigated: CDNon FKO, Free breathing(NF), ®Non- FKO, Nasal respiration only (NN), @Non- FKO, Oral respiration only (NM), @Regular FKO, Free breathing (FF), ®Regular FKO, Nasal respiration only (FN), @Regular FKO, Oral respiration only (FM), (l)Modified FKO, Free breathing (FHF), @ Modified FKO, Nasal respiration only (FHN), ®Modified FKO, Oral respiration only (FHM). We then analyzed the result using multiple comparison authorization (Bonferroni authorization).
[Results] A significant difference was not seen between FM and FHM. A significant difference was seen however, between FM and all other measurements. The increase in FHM volume was larger than that seen in the FM volume. However a significant difference was not seen between FHM and any of the other measurements including FM.
[Discussion & conclusion] There was no effect on the respiratory volume of normally nose breathers when FKO was applied. For oral respiration patients, some strategies for FKO usage were needed. As for the decrease of respiratory volume of oral respiration with FKO applied, it was suggested that there should be some improvements on the techniques or styles for hole drilling, even if it was an effective part of a previous method.
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