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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/).
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DERRUUDGR
DDGG SR
SRU
U00HHGGLLJU
JUDS
DSKKLLF

(KIWTC

'N VQTPKNNQ SWG UG WVKNK\Î GU VKRQ


*[TCZ RGTQ VCODKÃP RWGFG UGT
*CUUQEWCNSWKGTQVTQCNKIWCNNC
ECPVKFCFFGCEVKXCEKQPGUXCTÈCUG
IÕPGNETKVGTKQFGNQRGTCFQT1DUÃT
XGUGSWGGNCETÈNKEQPQGUV¶UQDTG
NCUEQTQPCUENÈPKECU

FWEKGPFQGNFGUETWEGFGNQUUGIOGPVQUNCVGTCNGUFGN RQTNCFKU[WPEKÎPFGNCUWVWTCOGFKCRCNCVKPCWPUKI
OCZKNCTUWRGTKQT
(KIWTC 
YYYOGFKITCRJKEQTIOZ
'NFKCIPÎUVKEQ[VTCVCOKGPVQFGNQUFGUÎTFGPGUQENW
PQENÈPKEQGUNCRTGUGPEKCFGFKCUVGOCCPVGTKQTRGTQ
RQTUWRWGUVQJC[SWGEQTTQDQTCTNQTCFKQIT¶ſECOGPVG
UCNGUUGVKGPGPSWGNNGXCTCECDQGPNQUVTGURNCPQUFGN
GURCEKQEQOQCNIWPCXG\NQUWIKTKÎ/E*QTTKU[C %10%.75+10'5
SWGGNTGUWNVCFQQHTCECUQUGFCT¶GPGNOKUOQUGPVK
FQRQTNQVCPVQUGVKGPGSWGJCEGTWPFKCIPÎUVKEQUKP .CEQTTGEEKÎPFGNQURTQDNGOCUVTCPUXGTUCNGUGUUKP
EQORGPUCEKQPGUFGPVCNGU'PNCſIWTCUGQDUGTXCNC FWFCGNXGEVQTO¶UEQORNGLQFGUQNWEKQPCT[CSWGUW
TGURWGUVCFGNCGZRCPUKÎPUKPGUVCTFGRQTOGFKQCN EQTTGEEKÎPPQDKGPFKCIPQUVKECFC[VTCVCFCPQURWG
IWPCEQORGPUCEKÎPFGPVQCNXGQNCTEQOQKPENKPCEKQPGU FGIGPGTCTFGURNC\COKGPVQUFGPVCNGUKPENKPCEKQPGU
XGUVKDWNCTGU[RQTEQPUKIWKGPVGECÈFCFGNCUEÕURKFGU CNXGQNCTGU[RQTEQPUKIWKGPVGFCÌQURGTKQFQPVCNGU
RCNCVKPCUUGOWGUVTCTGCNOGPVGNCGZRCPUKÎPOCZKNCT RQTNQVCPVQJCDNCPFQFGNQUVTGURNCPQUFGNGURCEKQ
4GXKUVC/GZKECPCFG1TVQFQPEKC
 


(KIWTC

5GRTGUGPVCXGTFCFGTQFGURNC
\COKGPVQFGNQUUGIOGPVQUNCVG
TCNGUFGNOCZKNCTGXKVCPFQEQO
RGPUCEKQPGU FGPVQCNXGQNCTGU
SWG RWFKGTCP EQPHWPFKTPQU GP
EWCPVQCSWGGUV¶RTQFWEKÃPFQUG
FKU[WPEKÎPFGNCUWVWTCOCZKNCT
1DUÃTXGUGEÎOQPQUGECGPNCU
EÕURKFGURCNCVKPCUUWRGTKQTGUPK
UGGZRQPGPNCUTCÈEGUFGNQUOQ
NCTGU

(KIWTC

0QVGSWGUGRTQFWEGEQTTGEEKÎP
FGNCOQTFKFCETW\CFCRGTQUKP
KPENKPCEKQPGUFGPVCNGU[CNXGQNC
TGUSWGRWFKGTCPIGPGTCTKPGU
VCDKNKFCFQENWUCN[HWPEKQPCNEQP
OC[QTRQUKDKNKFCFFGTGEKFKXC

GPSWGUGGPEWGPVTCNCTGNCEKÎPOCZKNQOCPFKDWNCTFG 'UWPCVÃEPKECTGNCVKXCOGPVGPWGXC[GPRTQEGUQFG
DGOQUKPKEKCTPWGUVTQFKCIPÎUVKEQ[VTCVCOKGPVQLWUVC EQORTQDCEKÎPGPUWUTGUWNVCFQURQTNQEWCNUGTGSWKG
OGPVGGPGNUGPVKFQVTCPUXGTUCNRCTCRQUVGTKQTOGPVG TGSWGGZKUVCPOC[QTGUKPXGUVKICEKQPGU[RWDNKECEKQ
YYYOGFKITCRJKEQTIOZ
UGIWKTEQPGNXGTVKECN[ſPCNOGPVGGNUCIKVCN#SWÈUG
OWGUVTCWPCCNVGTPCVKXCFGUQNWEKÎPFGGUVCRTQDNG
PGUENÈPKECUCNTGURGEVQRCTCSWGFGGUVCOCPGTCUGC
WPCCNVGTPCVKXCFGVTCVCOKGPVQVQVCNOGPVGEQPſCDNG[
O¶VKECSWGGUGHGEVKXC[UGPEKNNCFGTGCNK\CT5GRWGFG UGIWTCVCPVQRCTCGNRCEKGPVGEQOQRCTCGNGURGEKCNKU
CRNKECTVCPVQGPGZRCPUKÎPQTVQRÃFKECEQOQGPGZRCP VC.QUTGUWNVCFQUFGDGPUGTTGXKUCFQU[EQORTQDCFQU
UKÎPSWKTÕTIKECOGPVGCUKUVKFC RQTOGFKQFGCWZKNKCTGUFGFKCIPÎUVKEQEQOQVQOQITC
'ZKUVGWPCITCPTGURQPUCDKNKFCFGPGNWUQFGNQU HÈCUHQVQITCHÈCUOQFGNQUFGGUVWFKQGVEÃVGTC
FKURQUKVKXQUFGCPENCLGVGORQTCN
6#&5 RQTNQEWCN
UGTGSWKGTGVGPGTEQPQEKOKGPVQUUWſEKGPVGUFGCPCVQ 4'('4'0%+#5
OÈCſUKQNQIÈCDKQOGE¶PKECETGEKOKGPVQ[FGUCTTQNNQ
CTSWKVGEVWTCÎUGCGVERCTCSWGNQUTGUWNVCFQUUGCP  )CKPUHQTVJ$.#UVWF[QHQTVJQFQPVKECPEJQTCIGRQUUKDKNKVKGUKP
HCXQTCDNGU DCUCNDQPG#O,1TVJQF1TCN5WTI
2WGDNC4./CPGLQFGNCFKOGPUKÎPVTCPUXGTUCN
GZRCPUKÎP RQTOGFKQFGOKETQVQTPKNNQU
6#&5


 .KPMQY.++ORNCPVQQTVJQFQPVKEU,%NKP1TVJQF 5WTK.6GPGLC25WTIKECNN[CUUKUVGFTCRKFRCNCVCNGZRCPUKQPC


 'EJCTTK2-KO69(CXGTQ.-KO*,1TVQFQPEKCOKETQKO NKVGTCVWTGTGXKGY#O,1TVJQF&GPVQHCEKCN1TVJQR
RNCPVGU6ÃEPKECEQORNGVCRCUQCRCUQ4KRCPQ'FKVQTKCN/ÃFKEC 
/CFTKF 2ÃTG\#4WÈ\4'ZRCPUKÎPT¶RKFCRCNCVKPCCUKUVKFCSWKTÕTIKEC
 %TGGMOQTG6&'MNWPF/-6JGRQUUKDKNKV[QHUMGNGVCNCPEJQTC OGPVG4GXKUVC1FQPVQNÎIKEC/GZKECPC
 
IG,%NKP1TVJQF 6QTTGU*6GUKUFQEVQTCNUQDTG'HGEVQUFGNCFKU[WPEKÎPRCNCVKPC
 ,CG*[WP5WPI*GG/QQP-[WPI5GQPI/KP$CG*[Q5CPI UQDTGGNƀWLQFGCKTGPCUCN)TCPCFC'URCÌC7PKXGTUKFCFFG
2CTM1J9QP-YQP/E0COCTC,#,TNXCTG\#/KETQKORNCP 'UVQOCVQNQIÈC
   
VGUGPQTVQFQPEKC'FKVQTKCN2TQXKFGPEG#TIGPVKPC #PIGNKGTK( %GXKFCPGU.*5 (TCPEJK. )QPECNXGU,4 $GPCXK

 $CG5/2CTM*5-[WPI*/-YQP195WPI,*%NKPKECN FGU' /E0COCTC,#,T5CQ2CWNQCPF#TCTCSWCTC$TC\KN#PP
CRRNKECVKQPQHOKETQKORNCPVCPEJQTCIG,%NKP1TVJQF #TDQT/KEJCPF(NQTGPEG+VCN[#O,1TVJQF&GPVQHCEKCN1T
 VJQR
 -QTTQFK4KVVQ#5MGNGVCNCPEJQTCPIGYKVJOKETQKORNCPVU(CEKGU /GTEJ¶P/5'UVWFKQFGPUKVQOÃVTKEQGPOCZKNCT[OCPFÈDWNC
%GPVTQFG'UVWFKQU#TOQPÈC(CEKCN.FC2QTVWICN/C[Q EQPVQOQITCHÈCEQORWVCTK\CFCEWCPVKVCVKXC7PKXGTUKFCF%QO
 #PIGNN'*6TGCVOGPVQHKTTGIWNCTKV[QHRGTOCPGPVCFWNVVGGVJ RNWVGPUGFG/CFTKF
&GPV%QUOQU 6CWUEJG'*CPUGP.*KGVUEJQNF8.CITCXÂTG/1*CT\GT9&
 6KOOU&,'OGTUQP%#PIGNN
 (QWPFKPIHCVJGTQH )GTOCP[CPF'FOQPVQP#NDGTVC%CPCFC#O,1TVJQF&GPVQ
TCRKFOCZKNNCT[GZRCPUKQP&GPV*KUV
  HCEKCN1TVJQR
*CCU#,6JGVTGCVOGPVQHOCZKNNCT[FGſEKGPE[D[QRGPKPIVJG .CITCXÂTG/1%CTG[,2*GQ)6QQIQQF49/CLQT29'F
OKFRCNCVCNUWVWTG#PING1TVJQF OQPVQP#NDGTVC%CPCFC6TCPUXGTUGXGTVKECNCPFCPVGTQRQUVG
-KPUOCP5.,QJPUVQP/8%TCPKQU[PQUVQUKU+P-NKGIOCP4/ TKQTEJCPIGUHTQODQPGCPEJQTGFOCZKNNCT[GZRCPUKQPXUVTCFK
$GJTOCP4',GPUQP*$5VCPVQP$(GVCN0GNUQPVGZVDQQMQH VKQPCNTCRKFOCZKNNCT[GZRCPUKQP#TCPFQOK\GFENKPKECNVTKCN#O,
RGFKCVTKEUVJGF2JKNCFGNRJKC2C5CWPFGTU'NUGXKGTEJCR 1TVJQF&GPVQHCEKCN1TVJQRGG 
 /E*QTTKU91EENWUKQPRCTV+,%NKP1TVJQF
-QNG*5WTIKECNQRGTCVKQPUQPVJGCNXGQNCTTKFIGVQEQTTGEVQE /E*QTTKU91EENWUKQPRCTV++,%NKP1TVJQF
ENWUCNCDPQTOCNKVKGU1TCN5WTI1TCN/GF1TCN2CVJQN +UCCEUQP4+PITCO#*(QTEGURTQFWEGFD[TCRKFOCZKNNCT[
 GZRCPUKQP*(QTEGURTGUGPVGFFWTKPIVTGCVOGPV#PING1T
%QPXGTUG,/*QTQYKV\5.(CEKCNFGHQTOKV[+P*QTQYKV\5. VJQFQPV
 
*KZQP'*GVCN6JGPCVWTGQHQTVJQFQPVKEFKCIPQUKU5V.QWKU
6JG%8/QUD[%QORCP[EJCR
1DYGIGUGT*.5WTIKECNEQTTGEVKQPQHUOCNNQTTGVTQFKURNCEGF
OCZKNNCG2NCUV4GEQPUVT5WTI
  &KTGEEKÎPRCTCEQTTGURQPFGPEKC
5VGKPJCWUGT'9/KFNKPGURNKVVKPIQHVJGOCZKNNCT[QUVGQVQO[# .QTGP\Q2WGDNC4COQU
PGYVGEJPKSWG,1TCN5WTI
  'OCKNNQTGP\QRTA"JQVOCKNEQO

YYYOGFKITCRJKEQTIOZ

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