www.medigraphic.org.

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4GXKUVC/GZKECPCFG1TVQFQPEKC
8QN0Q 1EVQDGT&GEGODGT
RR
e255–e263 %#5'4'2146

1TVJQFQPVKEUWTIKECNEQTTGEVKQPQHCENCUU+++OCNQEENWUUKQP
6TKRNGQTVJQIPCVJKEUWTIGT[ECUGTGRQTV
%QTTGEEKÎPQTVQFÎPEKECSWKTÕTIKECFGWPCOCNQENWUKÎPENCUG+++
%KTWIÈCQTVQIP¶VKECVTKRNGRTGUGPVCEKÎPFGECUQENÈPKEQ
(TCPEKUEQ#PVQPKQ0ÕÌG\/CTD¶P#PVQPKQ)ÎOG\#TGPCUh
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5MGNGVCNENCUU+++KUVJGTGUWNVQHOCPFKDWNCTRTQIPCVJKUOITQYVJ
FGHKEKGPE[QHVJGOCZKNNCQTCEQODKPCVKQPQHDQVJ*KUVQTKECNN[
UWTIKECN EQTTGEVKQP QH ENCUU +++ JCU DGGP CEJKGXGF QPN[ D[
OCPFKDWNCTUGVDCEMUWTIGT[9KVJCFXCPEGUKPMPQYNGFIGCPF
VGEJPKSWGUEQTTGEVKXGUWTIGT[RTQITGUUGFVQKPENWFGDKOCZKNNCT[
CPFVTKRNGUWTIGT[
OCZKNNCOCPFKDNGCPFEJKP+PVJGNCUVFGECFG RTQITGUÎRCTCKPENWKTEKTWIÈCUDKOCZKNCTGU[VTKRNGU
OCZKNCTOCP
VJGHTGSWGPE[QHLCYUWTIGT[FGETGCUGFNGUUVJCPENCUU+++
RCVKGPVUYJKNGDKOCZKNNCT[UWTIGT[JCUEQOGVQWUGKPCDQWV
QHVJGENCUU+++RCVKGPVU$QVJDKOCZKNNCT[UWTIGT[CPFUWTIGT[ECP
KORTQXGQEENWUKQPOCUVKECVQT[HWPEVKQPCPFCGUVJGVKEUUKIPKſECPVN[
EJCPIKPIVJGRQUKVKQPQHVJGOCPFKDNGOCZKNNCCPFEJKP+VKUKPVGPFGF
VQGZRNCKPVJGFGXGNQROGPVCPFTGUWNVKPC%NCUU+++RCVKGPVYJQUG
VTGCVOGPV YCU VTKRNG QTVJQIPCVJKE UWTIGT[
CPVGTKQT UGIOGPVCN FGNCOCPFÈDWNCFGNOCZKNCT[FGNOGPVÎP5GRTGVGPFGFCTWPC
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UGIOGPVCTKC
.CENCUG+++GUSWGNÃVKECGUGNTGUWNVCFQFGNRTQIPCVKUOQOCPFKDWNCT
FGſEKGPEKCGPGNETGEKOKGPVQFGNOCZKNCTQWPCEQODKPCEKÎPFGNCU
FQUCPVGTKQTGU*KUVÎTKECOGPVGNCEQTTGEEKÎPSWKTÕTIKECFGNCENCUG
+++UGNQITCDCUÎNQOGFKCPVGEKTWIÈCFGTGVTQEGUQOCPFKDWNCT%QP
NQUCXCPEGUGPNQUEQPQEKOKGPVQU[VÃEPKECUNCEKTWIÈCEQTTGEVKXC
FÈDWNC[OGPVÎP'PNCÕNVKOCFÃECFCNCEKTWIÈCOCPFKDWNCTFKU
OKPW[ÎGPHTGEWGPEKCCOGPQUFGFGNQURCEKGPVGUFGENC
UG+++OKGPVTCUSWGNCEKTWIÈCDKOCZKNCTUGJCNNGICFQCWVKNK\CTGP
CRTQZKOCFCOGPVGGNFGNQURCEKGPVGUENCUG+++6CPVQNCEKTWIÈC
DKOCZKNCTEQOQNCEKTWIÈCVTKRNGRWGFGPOGLQTCTNCQENWUKÎPNCHWP
EKÎPOCUVKECVQTKC[NCGUVÃVKECECODKCPFQPQVCDNGOGPVGNCRQUKEKÎP
GZRNKECEKÎPFGNFGUCTTQNNQ[TGUWNVCFQQDVGPKFQGPWPRCEKGPVGENCUG
+++EW[QVTCVCOKGPVQHWGWPCEKTWIÈCVTKRNGQTVQIP¶VKEC
CPVGTKQTQUVGQVQOÈCUCIKVCNFGTGVTQEGUQ[OGPVQRNCUVKCFGCXCPEG

-G[YQTFU1TVJQIPCVJKEUWTIGT[QTVJQFQPVKEUENCUU+++UMGNGVCNQTVJQIPCVJKEUWTIGT[VTKRNGOCNQEENWUKQP
2CNCDTCUENCXG%KTWIÈCQTVQIP¶VKECQTVQFQPEKCENCUG+++GUSWGNÃVKECEKTWIÈCQTVQIP¶VKECVTKRNGOCNQENWUKÎP

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/CNQEENWUKQPU YKVJ C UMGNGVCN RTQDNGO QTKIKP
YJKEJ TGSWKTG QTVJQFQPVKE VTGCVOGPV QT UWTIKECN
KPUVTWOGPVUHQTKVUEQTTGEVKQPQEEWTKPCRRTQZKOCVGN[
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UGXGTGENCUU++ENCUU+++CPFVJGXGTVKECNUMGNGVCN
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UMGNGVCNOCNHQTOCVKQPUENCUU+++RCVKGPVUJCXGCJKIJ
RGTEGPVCIGQHUWTIKECNQTVJQFQPVKEVTGCVOGPVHQTVJGKT
EQTTGEVKQP
2TQHHKV GV CN TGRQTVGF VJCV  QH RCVKGPVU JCF
OCPFKDWNCTGZEGUUOCZKNNCT[FGHKEKGPEKGUCPF
UWTIGT[KPEQODKPCVKQPYKVJQTVJQFQPVKEU
(GY UVWFKGU JCXG GZCOKPGF VJG HCEVQTU VJCV
KPHNWGPEG VJG FGEKUKQP DGVYGGP EQPXGPVKQPCN
QTVJQFQPVKE VTGCVOGPV CPF UWTIKECNQTVJQFQPVKE
VTGCVOGPV -GTT GV CN TGRQTVGF VJCV RCVKGPVU YKVJ
#0$CPINGUNQYGTVJCP QCPFYKVJKPENKPCVKQPUQH
VJGOCPFKDWNCTKPEKUQTUQHNGUUVJCP QYGTGOQTG
NKMGN[VQJCXGUWTIKECNQTVJQFQPVKEVTGCVOGPV#OQTG
TGEGPVUVWF[EQPENWFGFVJCVUWTIKECNRCVKGPVUEQWNF
QHVJGRQRWNCVKQPJCFDQVJ  5VWFGPVQHVJG1TVJQFQPVKEU5RGEKCNV[
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/ Q U V  R G Q R N G  Y K V J  F G P V Q  C N X G Q N C T  E N C U U  + + + ++
2TQHGUUQTQHVJG/CZKNNQHCEKCN5WTIGT[5RGEKCNV[
OCNQEENWUKQPUJCXGUMGNGVCNRTQDNGOUCPFVJGOKNF
ECUGUECPQHVGPDGVTGCVGFYKVJQTVJQFQPVKEUQPN[ &'2G+(170#/
*QYGXGTRCVKGPVUYKVJUMGNGVCNENCUU+++OCNQEENWUKQPU 6JKUCTVKENGECPDGTGCFKPKVUHWNNXGTUKQPKPVJGHQNNQYKPIRCIG
YKVJUKIPKſECPVFKUETGRCPEKGUCTGQHVGPVTGCVGFYKVJ JVVRYYYOGFKITCRJKEEQOQTVQFQPEKC

© 2015 Universidad Nacional Autónoma de México, Facultad de Odontología. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/). See related content at doi: http://dx.doi.org/10.1016/j.rmo.2016.03.067

e256
DGFKUVKPIWKUJGFHTQOVJGPQPUWTIKECNQPVJGDCUKUQH
VJGOGCUWTGOGPVQHVJGXCNWGUQHVJG9KVVUCRRTCKUCN
OCZKNNCOCPFKDNG TGNCVKQPUJKR OCPFKDWNCT NGPIVJ
IQPKCNCPINGCPFVJGTGNCVKQPUJKROCPFKDWNCTNGPIVJ
CPFFKUVCPEGUGNNCPCUKQP
6TGCVOGPVQHVJGUMGNGVCNENCUU+++OCNQEENWUKQPU
KUCUKIPKſECPVENKPKECNEJCNNGPIGFWGVQVJGEQORNGZ
FKCIPQUKU CPF FKHHKEWNV RTQIPQUKU GURGEKCNN[ YJGP
70#/D[JKU/CZKNNQHCEKCN5WTIGQPDGECWUG
VJGENCUU+++KUCUUQEKCVGFYKVJCUMGNGVCNQTFGPVCN
CU[OOGVT[6JGTGCTGVYQOCKPVTGCVOGPVQRVKQPU
HQTCENCUU+++OCNQEENWUKQPVJCVKUFKCIPQUGFCHVGT
ITQYVJJCUDGGPEQORNGVGFQTVJQFQPVKEVTGCVOGPV
YKVJ GZVTCEVKQPU CPF QTVJQIPCVJKE UWTIGT[   (QT
OCP[RCVKGPVUYKVJCENCUU+++OCNQEENWUKQPUWTIKECN
VTGCVOGPVKUVJGDGUVCNVGTPCVKXG
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UWTIKECNN[EQTTGEVGFENCUU+++RCVKGPVUVJCVVJGUWTIKECN
QTVJQFQPVKEVTGCVOGPVKUXGT[UWEEGUUHWNKPVJGQXGTLGV
EQTTGEVKQP #NVJQWIJ VJG CPVGTQRQUVGTKQT UMGNGVCN
EQTTGEVKQP
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QXGTLGVEQTTGEVKQPVJGOCLQTKV[QHRCVKGPVUGPFGFWR
YKVJUQHVVKUUWGURTQHKNGUYKVJKPPQTOCNRCTCOGVGTU
$KOCZKNNCT[UWTIGT[YCUWUGFKPQHRCVKGPVUYJQ
JCFOQTGUGXGTGUMGNGVCNCPFFGPVCNFKUETGRCPEKGU
(KIWTG
VJCV VJG QPGU VTGCVGF YKVJ OCPFKDWNCT RTQEGFWTGU
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NKMGN[VQHWNN[EQTTGEVVJG#0$CPINGVJCPOCPFKDWNCT
UWTIGT[
6JG OCKP QDLGEVKXGU QH VJG UWTIKECNQTVJQFQPVKE
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HCEKCNRTQſNG
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YYYOGFKITCRJKEQTIOZ
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%#5'4'2146
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1TVJQFQPVKEUENKPKECVVJG&KXKUKQPQH2QUV)TCFWCVG
5VWFKGUCPF4GUGCTEJQHVJG0CVKQPCN7PKXGTUKV[QH
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JG RTGUGPVGF C RTQDNGO QH RTQIPCVJKUO 9JKNG
RGTHQTOKPIVJGOGFKECNJKUVQT[EJCTVKVYCUHQWPFVJCV
VJGRCVKGPVYCUCRRCTGPVN[JGCNVJ[7RQPKPVTCQTCN
GZCOKPCVKQPPQRCVJQNQIKGUQTVGORQTQOCPFKDWNCT
FKUQTFGTUYGTGHQWPF#VVJGRJQVQITCRJKECPCN[UKU
KVYCUQDUGTXGFVJCVVJGRCVKGPVYCUFQNKEJQHCEKCN
CU[OOGVTKECNJCFVJGHCEKCNOKFFNGVJKTFFGRTGUUGF
CVVJGNGXGNQHVJGOCNCTDQPGCPCNOQUVUVTCKIJV
RTQſNGCPFCPWRRGTFGPVCNOKFNKPGVJCVEQKPEKFGF
YKVJ VJG HCEKCN OKFNKPG +V YCU CNUQ HQWPF VJCV VJG
RCVKGPVJCFCDKNCVGTCNOQNCTENCUU+++DKNCVGTCNECPKPG
FGXKCVGFWRRGTCPFNQYGTFGPVCNOKFNKPGUOQFGTCVG
ETQYFKPIKPVJGWRRGTCPFNQYGTCPVGTKQTUGIOGPV
PGICVKXGQXGTLGVCPFCU[OOGVTKEUSWCTGFCTEJHQTOU
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VJCVCNNVJGVGGVJYGTGRGTOCPGPVYKVJCDUGPEGQH
VJGWRRGTCPFNQYGTNGHVVJKTFOQNCTUCU[OOGVTKE
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KPHGEVKQWU QEEWRCVKQP CPF EQPVKPWQWU CNXGQNCT
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Revista Mexicana de Ortodoncia 2015;3 (4): e255-e263
e257

6JGEGRJCNQOGVTKEFCVCUJQYGFCUMGNGVCNENCUU+++
RCVKGPVFWGVQRTQIPCVJKUOYKVJCDTCEJKHCEKCNRCVVGTP
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6TGCVOGPVQDLGEVKXGU

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RTQſNGETGCVGFD[VJGUMGNGVCNFKUETGRCPE[CPFQDVCKP
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6CDNG+70#/+PVGITCVGFCPCN[UKU
UGEQPFOQNCTUCTEJYKTGUGSWGPEGKPCEEQTFCPEGVQ
VJGVGEJPKSWGYKVJGZVTCEVKQPUQHſTUVRTGOQNCTUCPF 5CIKVVCNRNCPG 0QTO +PKVKCNXCNWG
TGXGTUGIGPKQRNCUV[6JGUGEQPFVTGCVOGPVQRVKQPYCU
QTVJQFQPVKEVTGCVOGPVYKVJFGPVCNFGEQORGPUCVKQP #0$
5VGKPGT QvQ 
HQTCVTKRNGQTVJQIPCVJKEUWTIGT[UGIOGPVCNUWTIGT[ 9KVU
,CEQDUQP OO 
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$KONGT OO 
RQTVKQPQHVJGOCZKNNCYKVJVJGKPVGPVKQPQHFGETGCUKPI %QPXGZKV[
4KEMGVVU OO 
VJGWRRGTKPEKUQTRTQENKPCVKQPKORTQXGVJGRTQſNGCPF 50#
5VGKPGT QvQ 
VJGOKFHCEKCNFGRTGUUKQPUCIKVVCNURNKVQUVGQVQO[QH (CEVQT
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/CZKNNCT[&GRVJ
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VJGOCPFKDNGVQKVUUWDUGSWGPVTGVTQRQUKVKQPKPICPF
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4KEMGVVU QvQ 
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5VGKPGT QvQ 
TGEQOOGPFGFCPFVJGTGHQTGKVYCUCEEGRVGF (CEKCNCPING
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4CVKQ
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6TGCVOGPVRTQITGUU /CPFKDWNCT.GPIVJ
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8GTVKECNFKOGPUKQP
7RRGT CPF NQYGT HKZGF CRRNKCPEGU YKVJ 4QVJ
$KONGTHCEKCNKPFGZ FDO $TCEJKHCEKCN
RTGUETKRVKQPŒUNQV
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4KEMGVVU QvQ 
UCOGRTGUETKRVKQP
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5VGKPGT QvQ 
ſTUVCPFUGEQPFWRRGTCPFNQYGTOQNCTU6TGCVOGPV (/#
6YGGF QvQ 
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4KEMGVVU OO 
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4KEMGVVUCGUVJGVKENKPG vOO OO
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DGICPYKVJCPŒPKVKCTEJYKTGQPVJGWRRGTCPF UGVDCEMUCIKVVCNURNKVQUVGQVQO[YKVJVJGUWDUGSWGPV

NQYGTCTEJCPF2JCUG+YCUHKPKUJGFYKVJCPWRRGT OOUGVDCEM6JGPGYOCPFKDWNCTRQUKVKQPYCUſZGF
CPFNQYGTŒªŒ55CTEJYKTG
#OGTKECP YKVJ GNCUVQOGTKE EJCKPU RNCEGF KP \KI\CI HTQO VJG
1TVJQFQPVKEU
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CUUGUUVJGRQUVUWTIGT[QEENWUKQPCPFEQPUKFGTKPI YCURGTHQTOGFD[RNCEKPICVKVCPKWORNCVGſZGFYKVJ
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YCUENQUGVQKFGCNVJGRCVKGPVYCUTGHGTTGFVQVJG # YGGM CHVGT UWTIGT[ Π Q\ QH HQTEG ENCUU
/CZKNNQHCEKCN5WTIGQPHQTRNCEGOGPVQHVJGUWTIKECN +++ GNCUVKEU YGTG RNCEGF CPF VJTGG YGGMU NCVGT VJG
URNKPVUWUGFFWTKPIUWTIGT[%TKORCDNG*QQMUYGTG UGIOGPVGFUWTIKECNCTEJYKTGYCUUWDUVKVWVGFD[C
RNCEGFOGUKCNVQVJGTKIJVUGEQPFOQNCTUCPFOGUKCN ŒªŒ%W0KVKCTEJYKTGYKVJCFKUVCNDGPF
VQVJGNGHVUGEQPFOQNCTUKPDQVJVJGWRRGTCPFNQYGT DCEMVQDQFKN[KPVTWFGVJGCPVGTKQTUGIOGPVYKVJQWV
CTEJ6JGCTEJYKTGYCUEWVFKUVCNVQVJGTKIJVCPFNGHV NQUKPIOWEJVKRRKPICPFVQTSWG
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RGTHQTOGF
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6JG /CZKNNQHCEKCN 5WTIGQP DGICP VJG UWTIGT[ TGRQUKVKQPGFCNQPIYKVJVJGNQYGTNGHVEGPVTCNKPEKUQT
RGTHQTOKPICPQUVGQVQO[KPVJGCPVGTKQTUGIOGPV
HTQO 9JKNGCUUGUUKPIVJGQXGTDKVGVJGFGEKUKQPYCUVCMGP
ECPKPGVQECPKPGQHVJGOCZKNNCKVYCUCFXCPEGFOO VQRGTHQTOUVTKRRKPIQHVJGNQYGTEGPVTCNCPFNCVGTCN
CPFſZGFYKVJOQPQEQTVKECNVKVCPKWOUETGYUCPFVYQ KPEKUQTU 6JG URCEGU YGTG ENQUGF YKVJ C Œ ª
OKPKRNCVGU5WDUGSWGPVN[QUVGQVQOKGUYGTGRGTHQTOGF Œ55NQYGTCTEJYKTGCPFCUJQTVGNCUVQOGTKE
DGVYGGPVJGOCPFKDWNCTDQF[CPFTCOWU
OCPFKDWNCT EJCKP
#OGTKECP1TVJQFQPVKEU

(KIWTG

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YYYOGFKITCRJKEQTIOZ

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Revista Mexicana de Ortodoncia 2015;3 (4): e255-e263
#VVJGſPKUJKPIUVCIGCŒªŒ55CTEJYKTG
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\KI\CI HTQO VJG WRRGT EWURKF VQ VJG NQYGT UGEQPF
DKEWURKF
(KIWTG C%NCUU+RCVKGPVYKVJCFGETGCUGKPVJGRQUKVKQPQHVJG
6JGCRRNKCPEGUYGTGTGOQXGFCPFWRRGTCPFNQYGT
EKTEWOHGTGPVKCNTGVCKPGTUYGTGRNCEGFCUTGVGPVKQP
#RTGſPKUJGTYCUOCPWHCEVWTGFKPVJGNCDQTCVQT[HQT
RQUVUWTIKECNEQPVGPVKQPKPUVTWEVKPIVJGRCVKGPVVQYGCT
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KVCVPKIJV
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4'57.65
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CPFHKPCNEGRJCNQOGVTKEXCNWGUKPVTCQTCNCPFHCEKCN
RJQVQITCRJUCPFUVWF[OQFGNU
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6JG HTQPVCN RJQVQITCRJ[ UJQYU CP QXCN CPF
FQNKEJQHCEKCNHCEGKPVJGNCVGTCNRJQVQITCRJCEQPXGZ
RTQHKNGYKVJCFGGROGPVQNCDKCNHQNFYCUQDUGTXGF
CUYGNNCUCUNKIJVKPETGCUGKPVJGPCUQNCDKCNCPING
#VVJGUOKNGRJQVQITCRJCJKIJUOKNGYKVJKPETGCUGF
VGGVJFKURNC[EQKPEKFGPVFGPVCNOKFNKPGUCPFVJGVQVCN
GNKOKPCVKQPQHETQYFKPIYCUQDUGTXGF
(KIWTG CRRNKCPEGUKPEQPLWPEVKQPYKVJFGPVCNGZVTCEVKQPUCTG
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9JGPEQORCTKPIVJGKPKVKCNCPFſPCNRJQVQITCRJU
VJGCNKIPOGPVCPFNGXGNKPIQHVJGWRRGTCPFNQYGT
VGGVJYCUGXKFGPVCECPKPG%NCUU+CPF%NCUU+OQNCT
C EQTTGEV QEENWUCN UGVVNGOGPV DQVJ KP VJG CPVGTKQT
UGIOGPVCUYGNNCUVJGRQUVGTKQTCPQTOCNQXGTDKVG
CPFQXGTLGVU[OOGVTKECNCPFQXCNWRRGTCPFNQYGT
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 Núñez MFA et al. Orthodontic-surgical correction of a class III malocclussion
e260

(KIWTG

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Revista Mexicana de Ortodoncia 2015;3 (4): e255-e263
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YYYOGFKITCRJKEQTIOZ
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 Núñez MFA et al. Orthodontic-surgical correction of a class III malocclussion
e262

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Revista Mexicana de Ortodoncia 2015;3 (4): e255-e263
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