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COMPARACIÓN DEL MOVIMIENTO DENTAL OBTENIDO POR UN ARCO 0,014 COPPER NI-TI®
ENTRE DOS SISTEMAS: BRACKETS DE AUTOLIGADO Y SISTEMA FLOW JAC EN TIPODONTOS ELECTRÓNICOS

Dr. José Mauricio Alvear Aragón*

Dra. Aury Estela Barón Martínez*
Dra. Gina Esperanza Hernández Orjuela*
Dr. Joaquín Ariza**

Recibido para publicación: 2-11-2010

Aceptado para publicación: 14-05-2011

RESUMEN

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OR TXH SHUPLWH XQD ´VROWXUD ELROyJLFDµ GHO DUFR
GHQWURGHODVFXDWURSDUHGHVGHODOX]GHODUDQXUD
3RVHHQ XQ VHQFLOOR PHFDQLVPR GH FLHUUH TXH VH
abre con un instrumento y se cierra fácilmente con
HOGHGR\WLHQHXQDVXSHUÀFLHPLFURJUDEDGDSDUD
XQDPHMRUDGKHVLyQ
La cementación de estos brackets se realizó de
acuerdo a las indicaciones del fabricante en la mi-
WDG GH OD FRURQD FOtQLFD \ VREUH HO HMH ORQJLWXGL-
QDO GHO GLHQWH FRQ DFUtOLFR GH DXWRSROLPHUL]DFLyQ
YHUDFULO $ ORV EUDFNHWV FHPHQWDGRV VH DGDSWy XQ
DUFR  1L7L &RSSHU GH OD FDVD 2UPFR con
XQD FRPSRVLFLyQ GH XQ  QtTXHO WLWDQLR HQ
XQ\FREUHHQ(VWHSDUDVXDFWLYDFLyQ
6H PROGHy XQ FDVR FOtQLFR FODVH ,, GLYLVLyQ  FRQ
XQ DSLxDPLHQWR PRGHUDGR VLQ H[RGRQFLDV FRQ
XQDGLVFUHSDQFLDGHPPHQODDUFDGDVXSHULRU\
PPHQODDUFDGDLQIHULRUVREUHXQSULPHUWLSR-
GRQWR$HVWHVHOHWRPyXQDLPSUHVLyQGHVLOLFRQD
ODFXDOIXHXWLOL]DGDFRPRPDWUL]GHUHSURGXFFLyQ
FRQ HO ÀQ GH UHSOLFDU  FRSLDV LGpQWLFDV GH HVWD
PDORFOXVLyQVREUHORVUHVWDQWHVWLSRGRQWRV
3DUDHVWDEOHFHUHOWDPDxRGHODPXHVWUDVHDSOLFy
UHTXLHUHXQDWHPSHUDWXUDPtQLPDGHž&
6(*81'2*5832(OVLVWHPD)ORZXWLOL]DWXERV
FDSLODUHVGHDFHURLQR[LGDEOHFRUWDGRVFRQOiVHUD
XQDORQJLWXGGHPPSDUDGLHQWHVDQWHULRUHVFDQL-
QRV\SUHPRODUHV\GHPPSDUDPRODUHVFRQXQ
GLiPHWURLQWHUQRGHPP\XQGLiPHWURH[WHUQR
GHPP3DUDHVWHSURFHGLPLHQWRIXHURQFHPHQ-
WDGRVLQLFLDOPHQWHORVWXERVGHOSULPHU\VHJXQGR
PRODUHV \ OXHJR ORV WXERV GH VHJXQGR SUHPRODU
DVHJXQGRSUHPRODUGHODPLVPDDUFDGDSUHYLD-
ODVLJXLHQWHIyUPXODQ=6GHò PHQWHHQKHEUDGRVHQHODUFR&RSSHU1L7L
Ortodoncia
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF
XWLOL]DGRWDPELpQSDUDHOSULPHUJUXSR(VWRVWXERV
fueron cementados en el centro de la corona clí-
QLFDVREUHODVXSHUÀFLHYHVWLEXODUGHFDGDGLHQWH
FRQXQDUHVLQDÁXLGDGHIRWRFXUDGR7HWULF1)ORZ
GHODFDVD,YRFODU9LYDGHQWHQIRUPDYHUWLFDOFRQ
PRYLPLHQWRVGHDUULEDDEDMRKDVWDFXEULUORVFRP-
SOHWDPHQWH 3RVWHULRUPHQWH VH SURFHGLy D OD IRWR-
SROLPHUL]DFLyQGHODUHVLQDSRUPHGLRGHIXHQWHGH
OX]GHKDOyJHQDSRUVHJXQGRV
Figura 3.&HPHQWDFLyQ6LVWHPD)ORZ
(Q HO ODERUDWRULR VH SURFHGLy D GHOLQHDU ORV ERU-
GHVLQFLVDOHV\YHUWLHQWHVF~VSLGHDVYHVWLEXODUHVGH
FDQLQRV SUHPRODUHV \ PRODUHV FRQ XQ PDUFDGRU
SHUPDQHQWH VH HQXPHUDURQ SRU SDUHV VXSHULRU H
LQIHULRU\VHPDUFDURQGRVSXQWRVHQODVEDVHVLQ-
WHUQDVSRVWHULRUHVGHWRGRVORVPRGHORVWLSRGRQWRV
medidos luego con un calibrador marca 0iVWHU, los
FXDOHV VLUYLHURQ GH UHIHUHQFLD SDUD OD KRPRORJD-
FLyQ\SDUDPHWUL]DFLyQGHODVLPiJHQHVHQHOVLVWH-
ma &D$LG3URJUDP.
Para la toma de las fotografías iníciales, los mode-
ORVVHFRORFDURQHQXQDEDVHDFUtOLFDSODQDSDUD-
OHODDOSLVRGH[FPFRQXQDOtQHDYHUWLFDO
HQHOFHQWURTXHVLUYLyGHUHIHUHQFLDSDUDORFDOL]DU
la línea media y ubicar el modelo en el centro. Los
PRGHORVIXHURQDSR\DGRVHQXQERUGHLQIHULRUFRQ-
VWLWXLGRSRUXQDSODFDYHUWLFDOGHFPGHDOWR
35
Figura 4.7RPDGH)RWRJUDItDV
Se inicia la toma de las fotos con una cámara
2O\PSXVOHQVGHPSVLQ]RRPDSR\DGDHQXQVR-
SRUWHFDOLEUDGRDXQDDOWXUDHVWDQGDUL]DGDGH
cm. Las imágenes obtenidas fueron trasladadas a
XQ FRPSXWDGRU 'HOO :LQGRZV ;3  3HQWLXP
PHPRULD5DP*EDGHFXDGRFRQHOVRIWZDUH
&$$,'SURJUDPSDUDLQLFLDUODUHFROHFFLyQGHORV
datos de las imágenes.
Posteriormente se realizó el calentamiento de los
WLSRGRQWRV FRQHFWDGRV SRU SDUHV  VXSHULRU FRQ
EUDFNHWV\VXSHULRUFRQVLVWHPD)ORZVHJXLGRSRU
LQIHULRUFRQEUDFNHWV\LQIHULRUFRQVLVWHPD)ORZ
\DVtVXFHVLYDPHQWHVHFDOHQWDURQSRUPLQXWRV
GXUDQWH ORV FXDOHV VH DOFDQ]y XQD WHPSHUDWXUD
DSUR[LPDGDGHƒƒ&SHUPLWLHQGRTXHODFHUD
HQWUHHQXQSURFHVRGHDEODQGDPLHQWRIDFLOLWDQGR
HO PRYLPLHQWR GH ORV GLHQWHV /D WHPSHUDWXUD VH
FRQWUROy SRU PHGLR GH XQ WHUPyPHWUR $%& ODER-
UDWRULRV D ƒ& \ FRQ XQ &DOHIDFWRU Bioaire SDUD
PDQWHQHUHVWDWHPSHUDWXUDDPELHQWH
'HVSXpVGHOFDOHQWDPLHQWRVHSURFHGLyDWRPDUODV
IRWRVÀQDOHV\VHUHDOL]yODPHGLFLyQGHODVXSHU-
SRVLFLyQ GH ODV LPiJHQHV LQLFLDO \ ÀQDO PHGLDQWH
HO VRIWZDUH &$ $LG SURJUDP SDWHQWDGR SRU 7DR
:HRQ.LPTXHPLGHODGLIHUHQFLDOLQHDOHQWUHORV
GDWRVLQLFLDOHV\ÀQDOHVGDQGRFRPRUHVXOWDGROD
36 Ortodoncia
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF

cantidad de movimiento obtenido en sentido vestí- SIGNIFI-

EXOROLQJXDO\RYHVWtEXORSDODWLQRFRQXQDH[DFWL- PROMEDIO DE
CANCIA
ELEMENTO DE MOVIMIENTO DIFERENCIA
WXGGHGpFLPDVGHPP (P<0,05)
ANÁLISIS POR SISTEMAS
*
BRACKET FLOW
Superior 1,338 1,479 0,142 N.S
Superior anterior 1,663 1,829 0,167 N.S
Superior posterior 0,850 0,954 0,104 N.S

ARCADA
Inferior 1,632 1,413 0,219 N.S
Inferior anterior 1,879 1,521 0,358 N.S
Inferior posterior 1,260 1,250 0,010 N.S
13 0,850 1,160 0,310 N.S

Figura 5. $QiOLVLVSRU&RPSXWDGRU 12 2,630 3,110 0,480 N.S

11 1,450 1,390 0,060 N.S
ANÁLISIS ESTADÍSTICO 21 1,560 1,290 0,270 N.S

/RVUHVXOWDGRVVHFRPSDUDURQHQWUHVtFRQODSUXH- 22 2,190 2,250 0,060 N.S

ED)SDUDFRPSDUDUODYDULDQ]DGHORVPRYLPLHQ- 23 1,300 1,780 0,480 N.S
DIENTE

WRV6LHVWDVYDULDQ]DVHUDQKRPRJpQHDVVHDSOLFy 33 0,720 0,280 0,440 N.S

ODSUXHEDWSDUDYDULDQ]DVLJXDOHVHQFDVRFRQWUD-
32 2,480 2,230 0,240 N.S
ULRVHDSOLFyODWSDUDYDULDQ]DVGLIHUHQWH
31 1,680 1,200 0,480 N.S
RESULTADOS 41 1,920 1,560 0,360 N.S
42 3,580 3,080 0,510 N.S
(Q ORV DUFRV VXSHULRU H LQIHULRU ODV GLIHUHQFLDV QR
IXHURQ VLJQLÀFDWLYDV SDUD HO VHJPHQWR DQWHULRU QL 43 0,910 0,780 0,130 N.S
SRVWHULRUS! * Prueba T para varianzas iguales.
161RVLJQLÀFDWLYD
(QHODUFRVXSHULRUQRKXERGLIHUHQFLDVLJQLÀFDWLYD
PPHQWUHORVPRYLPLHQWRVGHOEUDFNHW\GHO 2
VLVWHPD)ORZ)LJXUD7DEOD
1,48
Movimiento promedio (mm)

1,5 1,34
7DEOD  $QiOLVLV FRPSDUDWLYR GHO PRYLPLHQWR GH
ODVDUFDGDVVXSHULRUHLQIHULRUVHJPHQWRDQWHULRU\ 1 Bracket
)ORZ
SRVWHULRU\GHORVGLHQWHV 0,5
HQWUHEUDFNHW\)ORZ
0 Sistemas

Figura 1. Análisis de la diferencia del movimiento en

HODUFRVXSHULRUHQWUH)ORZ\EUDFNHW
Ortodoncia 37
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF

(Q HO DUFR VXSHULRU VHJPHQWR DQWHULRU QR KXER 2

GLIHUHQFLDVLJQLÀFDWLYDPPHQWUHORVPRYL- 1,63
1,41

Movimiento promedio (mm)

PLHQWRV GHO EUDFNHW \ GHO VLVWHPD )ORZ )LJXUD  1,5
Bracket
7DEOD 1 )ORZ

0,5
2 1,83
1,66 0 Sistemas
Movimiento promedio (mm)

1,5

1 Bracket
)ORZ Figura 4. Análisis de la diferencia del movimiento del
DUFRLQIHULRUHQWUH)ORZ\EUDFNHW
0,5

0
(QHODUFRLQIHULRUVHJPHQWRDQWHULRUQRKXERGLIH-
Sistemas
UHQFLDVLJQLÀFDWLYDPPHQWUHORVPRYLPLHQWRV
GHOEUDFNHW\GHOVLVWHPD)ORZ)LJXUD7DEOD
Figura 2. Análisis de la diferencia del movimiento en
HODUFRVXSHULRUVHJPHQWRDQWHULRUHQWUH)ORZ\EUDFNHW 2 1,88
1,52
Movimiento promedio (mm)

1,5
(Q HO DUFR VXSHULRU VHJPHQWR SRVWHULRU QR KXER
1
GLIHUHQFLDVLJQLÀFDWLYDPPHQWUHORVPRYL- Bracket
)ORZ
PLHQWRV GHO EUDFNHW \ GHO VLVWHPD )ORZ )LJXUD  0,5
7DEOD
0 Sistemas

2
Figura 5. Análisis de la diferencia del movimiento del
Movimiento promedio (mm)

1,5 DUFRLQIHULRUVHJPHQWRDQWHULRUHQWUH)ORZ\EUDFNHW
0,95
1 0,85 Bracket (Q HO DUFR LQIHULRU VHJPHQWR SRVWHULRU QR KXER
)ORZ
GLIHUHQFLDVLJQLÀFDWLYDPPHQWUHORVPRYL-
0,5
PLHQWRV GHO EUDFNHW \ GHO VLVWHPD )ORZ )LJXUD 
0 7DEOD
Sistemas

2
Figura 3. Análisis de la diferencia del movimiento en
1,5
Movimiento promedio (mm)

HODUFRVXSHULRUVHJPHQWRSRVWHULRUHQWUH)ORZ\EUDFNHW 1,26 1,25

1
0,5 Bracket
)ORZ
(QHODUFRLQIHULRUQRKXERGLIHUHQFLDVLJQLÀFDWLYD 0
PPHQWUHORVPRYLPLHQWRVGHOEUDFNHW\GHO Sistemas

VLVWHPD)ORZ)LJXUD7DEOD
Figura 6. Análisis de la diferencia del movimiento del
DUFRLQIHULRUVHJPHQWRSRVWHULRUHQWUH)ORZ\EUDFNHW
38 Ortodoncia
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF

$OFRPSDUDUHOPRYLPLHQWRGHORVGLHQWHV bracket en los dientes inferiores. Se observó además

         \  FRQ TXHKXERPD\RUPRYLPLHQWRHQORVGLHQWHVODWHUDOHV
EUDFNHW\VLVWHPD)ORZVHREVHUYyTXHKXERPD\RU VXSHULRUHVHLQIHULRUHVSHURODGLIHUHQFLDQRIXHVLJ-
PRYLPLHQWRFRQ)ORZHQORVGLHQWHVVXSHULRUHV\FRQ QLÀFDWLYDS!PP)LJXUD7DEOD

4,0
3,5
Movimiento promedio (mm)

3,0
2,5
2,0 Bracket
)ORZ
1,5
1,0
0,5
0,0
D13 D12 D11 D21 D22 D23 D33 D32 D31 D41 D42 D43
DIENTE

Figura 7.$QiOLVLVFRPSDUDWLYRGHOPRYLPLHQWRGHORVGLHQWHV
\HQWUHEUDFNHW\)ORZ

DISCUSIÓN
(Q HVWD LQYHVWLJDFLyQ IXH QHFHVDULR UHDOL]DU OD
simulación del movimiento in-vitro, mediante el
XVRGHWLSRGRQWRV\DTXHFOtQLFDPHQWHODUHSURGX-
FLELOLGDGHVPiVGLItFLOGHREWHQHUGHELGRDTXHOD
FRPSOHMLGDGGHODVYDULDEOHVDDQDOL]DUDXPHQWDUtD
considerablemente. Por tanto los movimientos ob-
WHQLGRVHQHVWHHVWXGLRQRSXHGHQFRPSDUDUVHFRQ
ORVGHOFRPSOHMRGHQWRIDFLDOORVFXDOHVVHHQFXHQ-
WUDQLQÁXHQFLDGRVSRUODELRORJtD\ÀVLRORJtDGHODV
HVWUXFWXUDVFLUFXQGDQWHV\SRUIDFWRUHVLQGLYLGXDOHV
LQWUtQVHFRV\H[WUtQVHFRV1RREVWDQWHHOPpWRGRGH
HVWDQGDUL]DFLyQORVPDWHULDOHV\KHUUDPLHQWDVXWLOL-
]DGDVSDUDHVWDLQYHVWLJDFLyQGDQXQDOWRJUDGRGH
FRQÀDELOLGDGHQORVUHVXOWDGRVREWHQLGRV
/RVWLSRGRQWRVFDUHFHQGHXQUHJXODGRUGHWHPSH-
UDWXUDTXHORVPDQWHQJDHVWDEOHDIHFWDQGRVXFD-
SDFLGDGSDUDJHQHUDUXQPRYLPLHQWRFRQWLQXRSRU
RWUDSDUWHODWHPSHUDWXUDDPELHQWHIXHHVWDEOHFLGD
GH DFXHUGR D ODV FDUDFWHUtVWLFDV PHWDO~UJLFDV GHO
DODPEUH\QRDODWHPSHUDWXUDGHODFDYLGDGRUDO
TXHVHUtDORLGHDOSDUDWUDWDUGHDFHUFDUVHPiVDO
ambiente real del movimiento dental.
(QODDUFDGDVXSHULRUHOPD\RUPRYLPLHQWRVHREWX
YR HQ HO VHJXQGR JUXSR VLQ HPEDUJR HVWH PR-
YLPLHQWR QR FRQWURODGR SXGR GHEHUVH D IDOWD GH
DSOLFDFLyQGHOLQRXWDOVLVWHPD)ORZORTXHSXGR
KDEHUFRQGLFLRQDGRODFDQWLGDGGHPRYLPLHQWRRE-
WHQLGRUHVSHFWRDOEUDFNHWGHDXWROLJDGR/RFRQ-
trario se observó en la arcada inferior, en donde se
Ortodoncia 39
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF

REWXYRXQPRYLPLHQWRPD\RUSDUDHOSULPHUJUXSR PDFRPSOHWDPHQWH3RUHVWDUD]yQ\GHELGRDTXH
HQHOTXHGHELyKDEHUVHSURGXFLGRXQDPHQRUFDQ- ORVDUFRVOLJHURVQRWLHQHQXQDLQÁXHQFLDVLJQLÀFD-
WLGDG GH PRYLPLHQWR VLWXDFLyQ D OD TXH QR VH OH WLYDHQODIRUPDÀQDOGHODDUFDGDORVUHVXOWDGRV
HQFRQWUyFDXVDDSDUHQWH ÀQDOHVQRVHFRPSDUDURQFRQSDUiPHWURVGHDUFRV
3RUWDQWRODDGDSWDFLyQGHOLQRXWTXHVHLQFRUSR-
UDHQODFHPHQWDFLyQGHOVLVWHPD)ORZ-DFQRHV
WDQ SUHFLVD FRPR OD SUHVFULWD HQ HO EUDFNHW SXHV
DXQTXHHOSURFHGLPLHQWRIXHUHDOL]DGRSRUXQRSH-
UDGRUH[SHULPHQWDGRIXHQHFHVDULRREYLDUDOJXQRV
SDUiPHWURVGHSRVLFLRQDPLHQWRGHORVWXERVIDFWRU
TXH JHQHUDOPHQWH GHSHQGH GHO FULWHULR \ GHVWUH]D
PDQXDOGHORSHUDGRUGLIHUHQFLDVDQDWyPLFDVGHQ-
WDOHVGHFDGDSDFLHQWHDGHPiVQRIXpSRVLEOHHV-
WDQGDUL]DUODFDQWLGDGHOWDPDxR\ODIRUPDGHORV
SXQWRVGHDSR\RGHODUHVLQDHQHOVLVWHPD)ORZ
/RVGDWRVREWHQLGRVPXHVWUDQTXHODPD\RUFDQWL-
dad de movimiento se obtuvo a nivel de laterales
VXSHULRUHVHLQIHULRUHVHQORVFXDOHVVHHQFRQWUyXQ
PRYLPLHQWROHYHPHQWHPD\RUSDUDHOSULPHUJUXSR
/RFRQWUDULRVHSUHVHQWRHQODDUFDGDLQIHULRUHVWH
JUXSRGHGLHQWHVSXHGHSUHVHQWDUXQPD\RUPRYL-
PLHQWRGHELGRDTXHSDUWLHURQGHXQDPDOSRVLFLyQ
PiVDFHQWXDGDKDFLDSDODWLQRRKDFLDOLQJXDO
/RV PRYLPLHQWRV REWHQLGRV SRU OD H[SUHVLyQ GHO
DUFRDHVWDWHPSHUDWXUD\WLHPSRVHOLPLWDQDPRV-
WUDU ~QLFDPHQWH OD FDSDFLGDG TXH DPERV WLHQHQ
SDUD JXLDU XQ PRYLPLHQWR GH DOLQHDFLyQ LQLFLDO
KDFLDXQDQXHYDSRVLFLyQGHQWDOFRQXQJUDGRGH
HIHFWLYLGDGDSUHFLDEOHFRQXQDWHQGHQFLDDOPRYL-
PLHQWR YHVWLEXODU $ HVWH UHVSHFWR OD OLWHUDWXUD UH-
SRUWDTXHHQXQWUDWDPLHQWRGHRUWRGRQFLDDOFR-
ORFDUXQDUFRUHGRQGRLQLFLDOH[LVWHODWHQGHQFLDD
ODSURLQFOLQDFLyQGHORVLQFLVLYRV\GHORVFDQLQRV
ideales.
$XQTXH ORV UHVXOWDGRV HVWDGtVWLFDPHQWH GHPRVWUD-
URQ TXH QR H[LVWH GLIHUHQFLD VLJQLÀFDWLYD HQ OD VL-
mulación del movimiento dental entre los sistemas
FRPSDUDGRVVHUHVDOWDTXHXQDPtQLPDGLIHUHQFLD
HQODFDQWLGDGGHOPRYLPLHQWRGHQWDOSRGUiLQÁXLU
notablemente en el resultado clínico de un trata-
miento ortodóncico.
$SDUWLUGHHVWHHVWXGLRQRVHSXHGHREWHQHUFRQ-
clusiones acerca de indicaciones, limitaciones y re-
VXOWDGRVGHOXVRGHOVLVWHPD)ORZ-DF7DPSRFRVH
KDQUHDOL]DGRHVWXGLRVSUHYLRVTXHFXDQWLÀTXHQORV
HIHFWRVGHOWUDWDPLHQWRRHOORJURGHVXVREMHWLYRV
al usarlo. Por esta razón es recomendable iniciar
HOSURFHVRGHLQYHVWLJDFLyQFOtQLFDSDUDHYDOXDU\
SUHYHUORVHIHFWRVTXHSRGUiWHQHU)ORZ-DF6\VWHP
DOLQLFLDUVXDSOLFDFLyQHQSDFLHQWHV
CONCLUSIONES
6HJ~Q ORV UHVXOWDGRV REWHQLGRV HQ HVWD LQYHVWLJD-
FLyQHVWDGtVWLFDPHQWHQRH[LVWHGLIHUHQFLDVLJQLÀFD-
WLYDGHORVSURPHGLRV(p>0,05);HQORVGRVJUXSRV
de estudio.
‡ (Q OD XWLOL]DFLyQ GH ORV VLVWHPDV Flow Jac y
autoligado Carriere Lx, se observó movi-
PLHQWRGXUDQWHODSULPHUDIDVHGHDOLQHDFLyQ
dental.

GHELGRDTXHORVPRYLPLHQWRVVRQGHWLSRLQGL- ‡ (VWRV PRYLPLHQWRV IXHURQ VLPLODUHV VLQ HP-
YLGXDO\GLIHUHQWHSDUDFDGDXQRGHORVGLHQWHV EDUJRPRVWUDURQXQFRPSRUWDPLHQWRGLIHUHQWH
DOFRPSDUDUODVDUFDGDVVXSHULRUHLQIHULRUGH
/DFDQWLGDGGHPRYLPLHQWRREWHQLGRIXpHOTXHVH ORVGRVJUXSRVREVHUYDGRV1RREVWDQWHQRVH
SURGXMRDOHOHYDUODWHPSHUDWXUDGHORVWLSRGRQWRV SXHGHGHWHUPLQDUVLHVWRVPRYLPLHQWRVIXHURQ
SRUXQSHULRGRGHWLHPSRHVWDQGDUL]DGRLQGHSHQ- IDYRUDEOHVRQRSDUDFDGDXQRGHORVVLVWHPDV
GLHQWHGHTXHHODUFRKD\DUHFXSHUDGRRQRVXIRU-
40
&RPSDUDFLyQGHOPRYLPLHQWRGHQWDOREWHQLGRSRUXQDUFRFRSSHUQLWLŠHQWUHGRVVLVWHPDVEUDFNHWVGHDXWROLJDGR\VLVWHPDÁRZMDF
PROSPECTIVA
‡ (VWDEOHFHU XQD IDVH GH DOLQHDFLyQ FRPSOHWD
FRQVHFXHQFLDGHDUFRVHQGRQGHVHHYDO~HQ
HO WLS WURTXp URWDFLyQ LQ RXW \ PRYLPLHQWRV
H[WUXVLYRVHLQWUXVLYRV([WHQGLHQGRHOSHULRGR
GHFDOHQWDPLHQWRHQGRQGHHODUFRSXHGDH[-
SUHVDUVHFRPSOHWDPHQWH
‡ (VWDQGDUL]DUORVSXQWRVGHDSR\RGHUHVLQDHQ
FXDQWRDFDQWLGDGWDPDxR\IRUPDHQHOVLVWH-
PD)ORZ-DF
‡ (VWDEOHFHU HO LQRXW SDUD HO VLVWHPD )ORZ -DF
SDUDREWHQHUPD\RUVLPLOLWXGHQHOPRYLPLHQWR
ÀQDO
‡ 5HDOL]DUXQHVWXGLRVLPLODUFRQHOHPHQWRVÀQL-
WRVFRQXQDFODVLÀFDFLyQGHPDORFOXVLyQPL-
GLHQGR OD UHVSXHVWD GHO PRYLPLHQWR HQ FDGD
uno de los sistemas.
‡ 3UHGHWHUPLQDU ORV QLYHOHV GH IXHU]DV SRU VHJ-
PHQWRVHQGLIHUHQWHVJUXSRVGHGLHQWHVFRQHO
ÀQGHGHWHUPLQDUODVIXHU]DVLQGLYLGXDOHV
‡ Realizar estudios clínicos donde se estandari-
FHQORVGLIHUHQWHVWLSRVGHPDORFOXVLyQFRPSD-
rando este sistema con otros sistemas ortodón-
FLFRVHQXQSHULRGRGHWLHPSRHVWDEOHFLGR\GH
HVWDPDQHUDSRGHUHYDOXDUVXVLQGLFDFLRQHV\
DSOLFDELOLGDG
REFERENCIAS BIBLIOGRÁFICAS
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