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Tratamiento de mordida abierta con extracciones de primeros molares. Reporte de caso
www.medigraphic.org.mx
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6JG GZVTCEVKQP QH HKTUV RGTOCPGPV OQNCTU KU C XKCDNG QRVKQP HQT VJGVTGCVOGPVQHOKNFVQOQFGTCVGFKUETGRCPEKGUQHVJGOCZKNNCT[ UVTWEVWTGUKPRCVKGPVUYKVJQRGPDKVG6JGVJGTCRGWVKEIQCNKUVQ EQTTGEVVJGOCNQEENWUKQPYJKNGVT[KPIVQECOQWHNCIGVJGUMGNGVCN RTQDNGO#ECUGTGRQTVKURTGUGPVGFQHCRCVKGPVYJQYCUVTGCVGF YKVJGZVTCEVKQPUQHHKTUVRGTOCPGPVOQNCTKPQTFGTVQEQTTGEVVJG OQFGTCVG UMGNGVCN QRGP DKVG VJTQWIJ OCPFKDWNCT TQVCVKQP VJWU CEJKGXKPICHWPEVKQPCNQEENWUKQPCPFHCXQTCDNGEQUOGVKETGUWNVU6JG CKOQHVJKUTGRQTVKUVQUJQYVJCVCHVGTRTQRGTECUGUGNGEVKQPCPF CIQQFFKCIPQUKUſTUVOQNCTGZVTCEVKQPUCTGCUWKVCDNGCNVGTPCVKXG VTGCVOGPVHQTUMGNGVCNQRGPDKVGU
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RTQNQPICEKÎPFGVKGORQFGVTCVCOKGPVQ[RTQPÎUVKEQ TGUGTXCFQSWGRWGFGCHGEVCTGNTGUWNVCFQſPCN5KP GODCTIQGZKUVGPXCTKQUTGRQTVGUFGECUQUVTCVCFQU EQPGZVTCEEKÎPFGRTKOGTQUOQNCTGUGPRCEKGPVGUEQP OQTFKFCUCDKGTVCUCPVGTKQTGU #TX[UVCUGPTG RQTVÎWPQFGNQURTKOGTQUECUQUUGIWKFQFG8CFGPGP [#TCUGPGNGPVTGQVTQUDCLQGNRTKPEKRKQ FGSWGNCGNKOKPCEKQPFGNQURWPVQUFGEQPVCEVQUO¶U RQUVGTKQTGU RQUKDNGHNWETWO [NCOGUKCNK\CEKÎPFGN UGIOGPVQRQUVGTKQTRTQXQECT¶WPCTQVCEKÎPCPVGTKQT OCPFKDWNCT[EQPGUVQGNEKGTTGFGNCOQTFKFCCPVGTKQT UKPGODCTIQRCTCSWGGUVCCNVGTPCVKXCFGVTCVCOKGPVQ
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© 2015 Universidad Nacional Autónoma de México, Facultad de Odontología. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
267
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Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
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269 HQTOCEWCFTCFCEQPNKIGTQCRKÌCOKGPVQUQDTGOQTFK FCXGTVKECNFGOOENCUG++OQNCTDKNCVGTCNENCUG ECPKPCKPFGſPKFCDKNCVGTCNUQDTGOQTFKFCJQTK\QPVCN FGOO[NCNÈPGCOGFKCFGUXKCFCOOJCEKCNC K\SWKGTFC 'PGNCP¶NKUKUHWPEKQPCNCTVKEWNCTUGGPEWGPVTCWPC CTVKEWNCEKÎPUCPCUKPFKCIPÎUVKEQRCVQNÎIKEQCRCTGPVG
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Pérez CG y cols. Tratamiento de mordida abierta con extracciones de primeros molares
270
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Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
271
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Pérez CG y cols. Tratamiento de mordida abierta con extracciones de primeros molares
272
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Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
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6JG GZVTCEVKQP QH HKTUV RGTOCPGPV OQNCTU KU C XKCDNG QRVKQP HQT VJGVTGCVOGPVQHOKNFVQOQFGTCVGFKUETGRCPEKGUQHVJGOCZKNNCT[ UVTWEVWTGUKPRCVKGPVUYKVJQRGPDKVG6JGVJGTCRGWVKEIQCNKUVQ EQTTGEVVJGOCNQEENWUKQPYJKNGVT[KPIVQECOQWHNCIGVJGUMGNGVCN RTQDNGO#ECUGTGRQTVKURTGUGPVGFQHCRCVKGPVYJQYCUVTGCVGF YKVJGZVTCEVKQPUQHHKTUVRGTOCPGPVOQNCTKPQTFGTVQEQTTGEVVJG OQFGTCVG UMGNGVCN QRGP DKVG VJTQWIJ OCPFKDWNCT TQVCVKQP VJWU CEJKGXKPICHWPEVKQPCNQEENWUKQPCPFHCXQTCDNGEQUOGVKETGUWNVU6JG CKOQHVJKUTGRQTVKUVQUJQYVJCVCHVGTRTQRGTECUGUGNGEVKQPCPF CIQQFFKCIPQUKUſTUVOQNCTGZVTCEVKQPUCTGCUWKVCDNGCNVGTPCVKXG VTGCVOGPVHQTUMGNGVCNQRGPDKVGU
2CNCDTCUENCXG /QTFKFCCDKGTVCGZVTCEEKÎPFGRTKOGTQUOQNCTGUFKUETGRCPEKCXGTVKECN -G[YQTFU 1RGPDKVGſTUVOQNCTGZVTCEVKQPUXGTVKECNFKUETGRCPE[
+0641&7%%+¦0 %CPWVFGſPGNCOQTFKFCCDKGTVCEQOQNCHCNVCFG EQPVCEVQGXKFGPVGGPVTGNQUFKGPVGUUWRGTKQTGUGKP HGTKQTGU FGQTKIGPFGPVCNQGUSWGNGVCNGUVCÕNVKOC RQTUWGVKQNQIÈCOWNVKHCEVQTKCN[UWUEQPUGEWGPEKCU GUWPITCPTGVQRCTCGNQTVQFQPEKUVC[CSWGCRGUCT FGSWGUGJCPTGCNK\CFQGZVGPUCUKPXGUVKICEKQPGUUQ DTGGUVCCNVGTCEKÎPGZKUVGVGOQTCPVGNCKFGPVKſECEKÎP FGNCGVKQNQIÈC[UGNGEEKÎPCFGEWCFCFGNVTCVCOKGPVQ SWGRTQRQTEKQPGTGUWNVCFQUHWPEKQPCNGUGUVÃVKEQUGU VCDNGU #EVWCNOGPVGGNQTVQFQPEKUVCVKGPGWPCUGTKGFGQR EKQPGUFGVTCVCOKGPVQU[QOGE¶PKECUSWGNGRGTOKVK T¶PVTCVCTGUVCCNVGTCEKÎP CRCTCVQUGZVTCQTCNGUDKVG DNQEMCRCTCVQUFGCPENCLGKPVTCQTCNOKPKKORNCPVGU EKTWIÈCQTVQIP¶VKEC[GZVTCEEKQPGUFGRTGOQNCTGUQRTK OGTQUOQNCTGU .QUVTCVCOKGPVQUFGQTVQFQPEKCFQPFGUGJCPRNCP VGCFQGZVTCEEKQPGUFGRTKOGTQUOQNCTGURGTOCPGP VGUJCPJGEJQRGPUCTSWGUQPFGFKHÈEKNOCPGLQEQP
RTQNQPICEKÎPFGVKGORQFGVTCVCOKGPVQ[RTQPÎUVKEQ TGUGTXCFQSWGRWGFGCHGEVCTGNTGUWNVCFQſPCN5KP GODCTIQGZKUVGPXCTKQUTGRQTVGUFGECUQUVTCVCFQU EQPGZVTCEEKÎPFGRTKOGTQUOQNCTGUGPRCEKGPVGUEQP OQTFKFCUCDKGTVCUCPVGTKQTGU #TX[UVCUGPTG RQTVÎWPQFGNQURTKOGTQUECUQUUGIWKFQFG8CFGPGP [#TCUGPGNGPVTGQVTQUDCLQGNRTKPEKRKQ FGSWGNCGNKOKPCEKQPFGNQURWPVQUFGEQPVCEVQUO¶U RQUVGTKQTGU RQUKDNGHNWETWO [NCOGUKCNK\CEKÎPFGN UGIOGPVQRQUVGTKQTRTQXQECT¶WPCTQVCEKÎPCPVGTKQT OCPFKDWNCT[EQPGUVQGNEKGTTGFGNCOQTFKFCCPVGTKQT UKPGODCTIQRCTCSWGGUVCCNVGTPCVKXCFGVTCVCOKGPVQ
YYYOGFKITCRJKEQTIOZ #UGUQTENÈPKEQ h #UGUQTDKDNKQIT¶ſEQ ++ #NWOPCUGIWPFQCÌQ
'URGEKCNKFCFFG1TVQFQPEKC7PKXGTUKFCF#WVÎPQOCFG$CLC%CNKHQTPKC 'UVGCTVÈEWNQRWGFGUGTEQPUWNVCFQGPXGTUKÎPEQORNGVCGP JVVR YYYOGFKITCRJKEEQOQTVQFQPEKC
© 2015 Universidad Nacional Autónoma de México, Facultad de Odontología. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
267
(KIWTC #P¶NKUKUHCEKCNKPKEKCN
(KIWTC (QVQITCHÈCUKPVTCQTCNGUKPKEKCNGU QDUGTXCOQUNCOQTFKFCCDKGTVC CPVGTKQTFGUFGNC\QPCRTGOQNCT FGTGEJCJCUVCGNRTKOGTRTGOQNCT K\SWKGTFQ
Q
Q Q Q
Q
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(KIWTC OO OO OO OO
#P¶NKUKUEGHCNQOÃVTKEQ QDUGTXC OQUJKRGTFKXGTIGPEKCCPIWNCT[ WPCEQPUKFGTCDNGRTQKPENKPCEKÎP FGKPEKUKXQUUWRGTKQTGU
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UGCGZKVQUCEQPTGUWNVCFQUGUVCDNGUHWPEKQPCNGUGU PGEGUCTKCWPCCFGEWCFCUGNGEEKÎPFGNECUQ 4'2146'&'%#51 &KCIPÎUVKEQ
2CEKGPVGHGOGPKPQFGCÌQUOGUGUFGGFCF EQPWPCDWGPCUCNWFIGPGTCN UGRTGUGPVCCNCENÈPKEC FGQTVQFQPEKCFGNC7PKXGTUKFCF#WVÎPQOCFG$CLC
(KIWTC4CFKQITCHÈCRCPQT¶OKECFGKPKEKQ
268
Pérez CG y cols. Tratamiento de mordida abierta con extracciones de primeros molares
(KIWTC5GVWRFKCIPÎUVKEQ+PKEKCNOGPVGUGGNKOKPCTQPNQUUGIWPFQUOQNCTGUUKPÃZKVQ#NGNKOKPCTNQURTKOGTQUOQNCTGUUG QDUGTXÎNCFKUOKPWEKÎPFGNCOQTFKFCCDKGTVCCPVGTKQT
(KIWTC #NKPGCEKÎP[PKXGNCEKÎPQRGPEQKNRCTC QDVGPGTGNGURCEKQFGNECPKPQUWRGTKQT K\SWKGTFQ
YYYOGFKITCRJKEQTIOZ
(KIWTC %KGTTGFGGURCEKQUOGUKCNK\CPFQUGI OGPVQURQUVGTKQTGU
Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
%CNKHQTPKCECORWU/GZKECNKCUQNKEKVCTCVGPEKÎPQTVQ FÎPEKEC'PUWCP¶NKUKUHCEKCNQDUGTXCOQUWPCNKIGTC CUKOGVTÈCRGTſNEQPXGZQ[OGPVÎPTGVTWKFQ (KIWTC 'PUWCP¶NKUKUKPVTCQTCN (KIWTC UGQDUGTXCCT ECFCUWRGTKQTFGHQTOCQXQKFGTGEGUKÎPIKPIKXCNFGN KPEKUKXQNCVGTCN[CWUGPEKCENÈPKECFGNECPKPQCODQU FGNEWCFTCPVGUWRGTKQTK\SWKGTFQCTECFCKPHGTKQTGP
269 HQTOCEWCFTCFCEQPNKIGTQCRKÌCOKGPVQUQDTGOQTFK FCXGTVKECNFGOOENCUG++OQNCTDKNCVGTCNENCUG ECPKPCKPFGſPKFCDKNCVGTCNUQDTGOQTFKFCJQTK\QPVCN FGOO[NCNÈPGCOGFKCFGUXKCFCOOJCEKCNC K\SWKGTFC 'PGNCP¶NKUKUHWPEKQPCNCTVKEWNCTUGGPEWGPVTCWPC CTVKEWNCEKÎPUCPCUKPFKCIPÎUVKEQRCVQNÎIKEQCRCTGPVG
(VWHGRFXPHQWRHVHODERUDGRSRU0HGLJUDSKLF
(KIWTC /GUKCNK\CEKÎPFGUGIWPFQUOQ NCTGUKPHGTKQTGU
YYYOGFKITCRJKEQTIOZ
(KIWTC (CUGFGCUGPVCOKGPVQQENWUCN
Pérez CG y cols. Tratamiento de mordida abierta con extracciones de primeros molares
270
%GHCNQOÃVTKECOGPVGRTGUGPVCENCUG++GUSWGNGVCN EQPTQVCEKÎPOCPFKDWNCT¶PIWNQFG#0$FGQETGEK OKGPVQPGWVTQXGTVFÎNKEQFKUVCPEKCKPVGTNCDKCN )#2
FGOOEQPRTQVTWUKÎP[RTQKPENKPCEKÎPFGKPEKUKXQU UWRGTKQTGUGKPHGTKQTGU[OQTFKFCCDKGTVCCPVGTKQT (K IWTC
(KIWTC 5GQDVWXQWPCQENWUKÎPHWPEKQ PCNEQPCFGEWCFCUQDTGOQTFKFC JQTK\QPVCN[XGTVKECN
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Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
271
(KIWTC TGCUFGUQDTGKORQUKEKÎP
(KIWTC2TQ[GEEKÎPFGNOGPVÎP
'PNCTCFKQITCHÈCRCPQT¶OKEC (KIWTC UGQDUGT XCPPKXGNGUÎUGQUCFGEWCFQURTGUGPEKCFGECPKPQ UWRGTKQTK\SWKGTFQ[VGTEGTQUOQNCTGUUWRGTKQTGUGKP HGTKQTGUCFGO¶UFGWPCDWGPCNQPIKVWFTCFKEWNCT #NVGTOKPCTGNFKCIPÎUVKEQ[CPVGUFGKPKEKCTGNVTC VCOKGPVQUGTGCNK\CUGVWRFGFKCIPÎUVKEQ (KIWTC RCTCXGTKſECTSWGCNGZVTCGTNQURTKOGTQUOQNCTGUUG RQFT¶PGNKOKPCTEQPVCEVQURQUVGTKQTGU[UGNQITCT¶GN EKGTTGFGOQTFKFCCPVGTKQT
UWRGTKQTGUGKPHGTKQTGUCRCTCVQNQIÈC4QVJUNQVŒ UGEQNQECCTEQŒFG0KVKPQNGPCODCUCTECFCU CFGO¶UFGDCTTCVTCPURCNCVKPCEQPDQVÎPDCLQ[CTEQ NKPIWCNGPUGIWPFQUOQNCTGURCTCKPKEKCTCNKPGCEKÎP[ PKXGNCEKÎP (KIWTC 7PCXG\ſPCNK\CFCGUVCHCUG[EQ NQECFQWPCTEQŒªŒFGCEGTQGUTGOKVKFC CN&GRCTVCOGPVQFG2GTKQFQPEKCRCTCNCEQTTGEEKÎPFG NCTGEGUKÎPIKPIKXCNFGNKPEKUKXQNCVGTCNK\SWKGTFQ2QUVG TKQTOGPVGUGKPKEKCGNEKGTTGFGGURCEKQUEQPCTEQUFQ DNGNNCXGŒªŒFGCEGTQKPQZKFCDNG (KIWTC [FGURWÃUFGUGKUOGUGUUGNQITCGNEKGTTGFGGURCEKQU UWRGTKQTGU5GEQNQECWPCTEQŒªŒEQPNQQR FGOGUKCNK\CEKÎPRCTCUGIWPFQUOQNCTGUKPHGTKQTGURQT VTGUOGUGUCRTQZKOCFCOGPVG (KIWTC UKPGODCTIQ HWGPGEGUCTKQEQNQECTOKPKKORNCPVGEQOQCWZKNKCTGPGN RTQEGUQFGEKGTTGFGNUGIWPFQOQNCTKPHGTKQTFGTGEJQ 7PCXG\EQORNGVCFQGNEKGTTGFGGURCEKQUUGEQNQEC CTEQVKRQ$TCKFGFŒªŒKPHGTKQT[Œª ŒTÈIKFQUWRGTKQT (KIWTC 5GTGCNK\CPCLWUVGU QENWUCNGUFGCUGPVCOKGPVQ[FGURWÃUFGOGUGUUG RTQEGFGCNTGVKTQFGCRCTCVQNQIÈC (KIWTC 5GFGEKFG OQPKVQTGCTNCGTWREKÎPFGVGTEGTQUOQNCTGUGKTTGCNK \CPFQCLWUVGQENWUCNRCTCGXKVCTEQPVCEVQUKPFGUGCDNGU
YYYOGFKITCRJKEQTIOZ
6TCVCOKGPVQ 5GTGCNK\ÎVTCVCOKGPVQOWNVKFKUEKRNKPCTKQQTVQFQPEKC RGTKQFQPEKCEQPGZVTCEEKQPGUFGRTKOGTQUOQNCTGU
4'57.6#&15 &GURWÃUFGOGUGUFGVTCVCOKGPVQGNGLGHCEKCN CWOGPVQQGNGLGOCPFKDWNCTFKUOKPW[ÎKIWCNOGPVG QITCFQ[GNGLGKPVGTKPEKUCNRCUQFGQC (KIW TCU[ UGOGLQTÎGNRGTſNEQPNCRTQ[GEEKÎPFGN OGPVÎP (KIWTC UGQDVWXQENCUG+OQNCT[ECPKPC DKNCVGTCNUQDTGOQTFKFCXGTVKECN[JQTK\QPVCNFGOO[ EQPGUVQIWÈCUHWPEKQPCNGUCFGEWCFCUCFGO¶UFGWP
Pérez CG y cols. Tratamiento de mordida abierta con extracciones de primeros molares
272
(KIWTC4CFKQITCHÈCRCPQT¶OKECſPCN
CFGEWCFQRCTCNGNKUOQTCFKEWNCTUGUKIWGOQPKVQTGCP FQNCGTWREKÎPFGNQUVGTEGTQUOQNCTGUUWRGTKQTGU (K IWTC [UGTGCNK\CT¶CLWUVGQENWUCNJCUVCSWGÃUVQU VGTOKPGPUWGTWREKÎP 4'6'0%+¦0 5GNGEQNQEÎTGVGPEKÎPTGOQXKDNGFGVKRQEKTEWPHG TGPEKCNUWRGTKQT[TGVGPEKÎPſLCFGECPKPQCECPKPQKP HGTKQT (KIWTC &+5%75+¦0 .CGZVTCEEKÎPFGRTKOGTQUOQNCTGUGUWPVTCVC OKGPVQSWGJQ[GPFÈCIGPGTCOWEJCEQPVTQXGTUKC RQTEQPUKFGTCTSWGGUVQUÎTICPQUFGPVCTKQUUQPNNC XGUHWPFCOGPVCNGUFGNCQENWUKÎP UKPGODCTIQNCU RWDNKECEKQPGUFG#TX[UVCU8CFGPGP5W NCKOCP[#TCUGPGNGPVTGQVTQUCſTOCP SWGGNVTCVCOKGPVQFGNCOQTFKFCCDKGTVCGUSWGNGVCN EQPGZVTCEEKQPGUFGRTKOGTQUOQNCTGUVKGPGTGUWNVC FQUHWPEKQPCNGUEQPOC[QTGUVCDKNKFCFCFKHGTGPEKCFG CSWGNNQUGPNQUSWGUGFGEKFGPQGZVTCGT'UVCQREKÎP FGVTCVCOKGPVQUÎNQUGT¶GZKVQUCUKGORTG[EWCPFQUG EWGPVGEQPNCGZRGTKGPEKC[FGUVTG\CENÈPKECUWſEKGPVG RCTCUGNGEEKQPCTCFGEWCFCOGPVGGNECUQ[NNGXCTWP DWGPEQPVTQNFGNCOGE¶PKECUKPFGLCTFGEQPUKFGTCT SWGUGIÕP5GFFQP NQUVTCVCOKGPVQUUGRWG FGPGZVGPFGTFGCOGUGUGPEQORCTCEKÎPEQPWPC QTVQFQPEKCEQPXGPEKQPCN
(KIWTC4GVGPEKÎP
[FGUVTG\CGNGXCFCURCTCPQEQORTQOGVGTNCUGZRGE VCVKXCU[TGUWNVCFQUFGNVTCVCOKGPVQ .'%674#54'%1/'0&# #TCU # 8GTVKECN EJCPIGU HQNNQYKPI QTVJQFQPVKE GZVTCEVKQP VTGCVOGPVKPUMGNGVCNQRGPDKVGUWDLGEVU'WT,1TVJQF
.ÎRG\)CXKVQ)9CNNGP64.KVVNG4/,QQPFGRJ&4#PVGTKQT QRGPDKVGOCNQEENWUKQP CNQPIKVWFKPCN[GCTRQUVTGVGPVKQPGXC NWCVKQPQHQTVJQFQPVKECNN[VTGCVGFRCVKGPVU#O,1TVJQF
'PINKUJ,&'CTN[VTGCVOGPVQHUMGNGVCNQRGPDKVGOCNQEENWUKQPU #O,1TVJQF&GPVQHCEKCN1TVJQR #N'OTCP5'5'ZVTCEVKQPQHſTUVRGTOCPGPVOQNCTUKPVJGOCPC IGOGPVQHCPVGTKQTQRGPDKVGOCNQEENWUKQP5CWFK&GPVCN,QWTPCN 8CFGP,.0QPUWTIKECNVTGCVOGPVQHVJGRCVKGPVYKVJXGTVKECNFKU ETGRCPE[#O,1TVJQF&GPVQHCEKCN1TVJQR FG(KIWGKTGFQ/#'CTN[VQQVJGZVTCEVKQPKPVJGVTGCVOGPVQHCPVG TKQTQRGPDKVGKPJ[RGTFKXGTIGPVRCVKGPVU9QTNF,1TVJQF
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YYYOGFKITCRJKEQTIOZ
%10%.75+¦0 .CGZVTCEEKÎPFGRTKOGTQUOQNCTGUGUWPCDWGPC QREKÎPFGVTCVCOKGPVQGPGNECUQFGOQTFKFCCDKGTVC GUSWGNGVCNEQPGNEWCNUGQDVKGPGPTGUWNVCFQUGUVC DNGUHWPEKQPCNGU[GUVÃVKEQUGZEGNGPVGUEQPUKFGTCPFQ UKGORTGSWGGUVCQREKÎPFGVTCVCOKGPVQFGOCPFCWPC CFGEWCFCUGNGEEKÎPFGNECUQ[WPCGZRGTKGPEKCENÈPKEC
Revista Mexicana de Ortodoncia 2015;3 (4): 266-273
#TX[UVCU/)6TGCVOGPVQHCPVGTKQTUMGNGVCNQRGPDKVGFGHQTOKV[ #O,1TVJQF 5GFFQP,.'ZVTCEVKQPQHHQWTſTUVOQNCTU CECUGHQTCIGPGTCN RTCEVKVKQPGT!,1TVJQF (T¼PMGN4#HWPEVKQPCNCRRTQCEJVQVTGCVOGPVQHUMGNGVCNQRGP DKVG#O,1TVJQF
273 %CPIKCNQUK6,5MGNGVCNOQTRJQNQIKEHGCVWTGUQHCPVGTKQTQRGP DKVG#O,1TVJQF &KTGEEKÎPRCTCEQTTGURQPFGPEKC )WKNNGTOQ2ÃTG\%QTVG\ 'OCKN IOQQTVQ"[CJQQEQO
YYYOGFKITCRJKEQTIOZ