www.medigraphic.org.
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4GXKUVC/GZKECPCFG1TVQFQPEKC
8QN0Q 1EVQDGT&GEGODGT
RR
e264–e270
1RGPDKVGVTGCVOGPVYKVJſTUVOQNCTGZVTCEVKQP
%CUGTGRQTV
6TCVCOKGPVQFGOQTFKFCCDKGTVCEQPGZVTCEEKQPGU
FGRTKOGTQUOQNCTGU4GRQTVGFGECUQ
)WKNNGTOQ2ÃTG\%QTVG\ 6GN[#FTKCPC5QVQ%CUVTQh0CPE[+XGVVG)CNNCTFQ#NHCTQ+++FCNKC5GNGPG+UCKU2GÌC++
#$564#%6
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
-G[YQTFU1RGPDKVGſTUVOQNCTGZVTCEVKQPUXGTVKECNFKUETGRCPE[
2CNCDTCUENCXG/QTFKFCCDKGTVCGZVTCEEKÎPFGRTKOGTQUOQNCTGUFKUETGRCPEKCXGTVKECN
+0641&7%6+10
%CPWV FGHKPGF QRGP DKVG CU VJG QDXKQWU NCEM QH
EQPVCEVDGVYGGPVJGWRRGTCPFNQYGTVGGVJQHFGPVCN
QTUMGNGVCNQTKIKPVJGNCVVGTFWGVQKVUOWNVKHCEVQTKCN
GVKQNQI[ CPF EQPUGSWGPEGU TGRTGUGPVU C ITGCV
EJCNNGPIGHQTVJGQTVJQFQPVKUVDGECWUGFGURKVGVJGHCEV
VJCVGZVGPUKXGTGUGCTEJJCUDGGPEQPFWEVGFQPVJKU
CPQOCN[VJGTGKUHGCTKPVJGGVKQNQI[KFGPVKſECVKQPCPF
KPVJGRTQRGTVTGCVOGPVUGNGEVKQPVJCVFGNKXGTUUVCDNG
HWPEVKQPCNCPFCGUVJGVKETGUWNVU
YYYOGFKITCRJKEQTIOZ
%WTTGPVN[VJGQTVJQFQPVKUVJCUCPWODGTQHVTGCVOGPV
QRVKQPU CPFQT OGEJCPKEU VQ VTGCV VJKU CPQOCN[
GZVTCQTCNCRRNKCPEGUDKVGDNQEMKPVTCQTCNCPEJQTCIG
CRRNKCPEGUOKPKKORNCPVUQTVJQIPCVJKEUWTIGT[CPF
DKEWURKFQTſTUVOQNCTGZVTCEVKQPU
1TVJQFQPVKEVTGCVOGPVUYJGTGGZVTCEVKQPUQHHKTUV
RGTOCPGPVOQNCTUJCXGDGGPUWIIGUVGFCTGQHVGP
EQPUKFGTGF CU FKHHKEWNV VQ JCPFNG YKVJ GZVGPFGF
VTGCVOGPVVKOGTGUGTXGFRTQIPQUKUCPFYJGTGVJGſPCN
TGUWNVOC[DGCHHGEVGF*QYGXGTVJGTGCTGUGXGTCN
© 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.2016.03.069
%#5'4'2146
4'57/'0
.CGZVTCEEKÎPFGRTKOGTQUOQNCTGURGTOCPGPVGUGUWPCCNVGTPCVK
XCXKCDNGRCTCGNVTCVCOKGPVQFGFKUETGRCPEKCUNGXGUQOQFGTCFCU
FGNCUGUVTWEVWTCUOCZKNCTGUGPRCEKGPVGUEQPOQTFKFCCDKGTVCGN
QDLGVKXQVGTCRÃWVKEQGUEQTTGIKTNCOCNQENWUKÎPCNVKGORQSWGUGKP
VGPVCFKUKOWNCTGNRTQDNGOCGUSWGNÃVKEQ5GRTGUGPVCECUQENÈPKEQFG
WPCRCEKGPVGVTCVCFCEQPGZVTCEEKQPGUFGRTKOGTQUOQNCTGURGTOC
PGPVGURCTCEQTTGEEKÎPFGOQTFKFCCDKGTVCGUSWGNÃVKECOQFGTCFC
NQITCPFQTQVCEKÎPOCPFKDWNCTWPCQENWUKÎPHWPEKQPCN[TGUWNVCFQU
GUVÃVKEQUHCXQTCDNGU'NQDLGVKXQFGGUVGCTVÈEWNQGUFGOQUVTCTSWG
FGURWÃUFGWPCCFGEWCFCUGNGEEKÎPFGNECUQRQTOGFKQFGWP
DWGPFKCIPÎUVKEQNCUGZVTCEEKQPGUFGRTKOGTQUOQNCTGUTGUWNVCP
WPCDWGPCCNVGTPCVKXCFGVTCVCOKGPVQGPGNECUQFGOQTFKFCUCDKGT
VCUFGQTKIGPGUSWGNGVCN
ECUGTGRQTVUKPVJGNKVGTCVWTGQHRCVKGPVUYKVJQRGPDKVGU
VTGCVGFD[OGCPUQHſTUVOQNCTGZVTCEVKQPU#TX[UVCU
KPTGRQTVGFQPGQHVJGHKTUVECUGUHQNNQYGFD[
8CFGP KP  CPF #TCU KP  COQPI QVJGTU
6JGUGECUGUYGTGVTGCVGFWPFGTVJGRTKPEKRNGVJCVD[
GNKOKPCVKPIRQUVGTKQTEQPVCEVRQKPVU RQUUKDNGHWNETWOU 
CPF OQXKPI VJG RQUVGTKQT UGIOGPV OGUKCNN[ C
OCPFKDWNCTCPVGTKQTTQVCVKQPYQWNFQEEWTVJWUENQUKPI
VJGCPVGTKQTQRGPDKVG*QYGXGTHQTVJKUVTGCVOGPV
CNVGTPCVKXG VQ DG UWEEGUUHWN YKVJ UVCDNG HWPEVKQPCN
TGUWNVUKVKUPGEGUUCT[VQFQCRTQRGTECUGUGNGEVKQP
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++
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1TVJQFQPVKE 5RGEKCNV[ QH VJG #WVQPQOQWU 7PKXGTUKV[ QH $CLC
%CNKHQTPKC
6JKUCTVKENGECPDGTGCFKPKVUHWNNXGTUKQPKPVJGHQNNQYKPIRCIG
JVVRYYYOGFKITCRJKEEQOQTVQFQPEKC
Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
e265

(KIWTG

+PKVKCNHCEKCNCPCN[UKU

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+PKVKCN KPVTCQTCN RJQVQITCRJU

YJGTGCPCPVGTKQTQRGPDKVGHTQO
VJGTKIJVRTGOQNCTCTGCVQVJGſTUV
RTGOQNCT CTGC QP VJG NGHV UKFG
OC[DGQDUGTXGF

Q
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CV VJG #WVQPQOQWU 7PKXGTUKV[ QH $CLC %CNKHQTPKC
/GZKECNK%CORWUVQUGGMQTVJQFQPVKEECTG1PJGT
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CPFCTGVTWUKXGEJKPYGTGQDUGTXGF (KIWTG 1PVJG
KPVTCQTCNCPCN[UKU (KIWTG CPQXQKFUJCRGFWRRGT
CTEJIKPIKXCNTGEGUUKQPQHVJGWRRGTNGHVNCVGTCNKPEKUQT (KIWTG+PKVKCNRCPQTCOKETCFKQITCRJ
 Pérez CG et al. Open bite treatment with first molar extraction
e266

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KPVJGCPVGTKQTQRGPDKVGYCUQDVCKPGF

(KIWTG

#NKIPOGPVCPFNGXGNKPI1RGPEQKNVQ
ICKPURCEGHQTVJGWRRGTNGHVECPKPG

YYYOGFKITCRJKEQTIOZ

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5RCEGENQUWTGD[OGUKCNK\CVKQPQHVJG
RQUVGTKQTUGIOGPVU
Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
CPFENKPKECNCDUGPEGQHVJGWRRGTNGHVECPKPGCUSWCTG
UJCRGFNQYGTFGPVCNCTEJYKVJOKNFETQYFKPIC
OOQXGTDKVGDKNCVGTCNOQNCTENCUU++CDKNCVGTCNPQP
CUUGUUCDNGECPKPGENCUUCOOQXGTLGVCPFC
OOVQVJGNGHVFGPVCNOKFNKPGFGXKCVKQPYGTGQDUGTXGF
1P VJG HWPEVKQPCN VGORQTQOCPFKDWNCT LQKPV
CUUGUUOGPV C JGCNVJ[ 6/, YKVJQWV CP[ CRRCTGPV
RCVJQNQIKECNFCVCYCUPQVGF
(VWHGRFXPHQWRHVHODERUDGRSRU0HGLJUDSKLF
YYYOGFKITCRJKEQTIOZ
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%GRJCNQOGVTKECNN[ C UMGNGVCN ENCUU ++ YKVJ
OCPFKDWNCTTQVCVKQPOC[DGQDUGTXGFYKVJCQ#0$
CPINGPGWVTCNITQYVJFQNKEJQHCEKCNRCVVGTPCOO
KPVGTNCDKCN FKUVCPEG )#2  KPEKUQT RTQVTWUKQP CPF
RTQENKPCVKQPQHVJGWRRGTCPFNQYGTKPEKUQTUCPFCP
CPVGTKQTQRGPDKVG (KIWTG 
1PVJGRCPQTCOKETCFKQITCRJ (KIWTG CIQQF
DQPG JGKIJV YCU QDUGTXGF CU YGNN CU C IQQF TQQV
(KIWTG
/GUKCNK\CVKQPQHVJGNQYGTUGEQPF
OQNCTU
(KIWTG
1EENWUCNUGVVNKPIRJCUG
 Pérez CG et al. Open bite treatment with first molar extraction
e268

NGPIVJCPFVJGRTGUGPEGQHVJGWRRGTNGHVECPKPGCPF (KIWTG RGTHQTOGFKPQTFGTVQFGVGTOKPGYJGVJGT

WRRGTCPFNQYGTVJKTFOQNCTU QTPQVD[GZVTCEVKPIVJGHKTUVOQNCTUVJGRQUVGTKQT
1PEGVJGFKCIPQUKUYCUGUVCDNKUJGFCPFRTKQTVQ KPVGTHGTGPEGUYQWNFDGGNKOKPCVGFCPFVJGCPVGTKQT
VJGDGIKPPKPIQHVTGCVOGPVCFKCIPQUVKEUGVWRYCU QRGPDKVGYQWNFENQUG

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Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
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6TGCVOGPVRTQITGUU
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KPETGCUGF VJGOCPFKDWNCTCZKUFGETGCUGF CPF
KPXQNXKPIQTVJQFQPVKEUCPFRGTKQFQPVKEUWRRGTCPF
NQYGT OQNCT GZVTCEVKQPU YGTG RGTHQTOGFŒ
UNQV 4QVJ CRRNKCPEGU YGTG RNCEGF YKVJ C Œ
0KVKPQNCTEJYKTGKPDQVJFGPVCNCTEJGU#FFKVKQPCNN[
C VTCPURCNCVCNDCT YKVJ C NQY DWVVQP CPF C NKPIWCN
CTEJ YGTG HKVVGF VQ VJG UGEQPF OQNCTU KP QTFGT
VQ DGIKP VJG CNKIPOGPV CPF NGXGNKPI (KIWTG  
7RQPEQORNGVKQPQHVJKURJCUGCPŒZŒ
UVCKPNGUUUVGGNCTEJYKTGYCURNCEGFCPFVJGRCVKGPV
e269
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5WRGTKORQUKVKQPCTGCU
YCUTGHGTTGFVQVJG2GTKQFQPVKEU&GRCTVOGPVHQTVJG
EQTTGEVKQP QH VJG IKPIKXCN TGEGUUKQP QP VJG WRRGT
NGHVNCVGTCNKPEKUQT5RCEGENQUWTGYCUVJGPKPKVKCVGF
YKVJŒZŒUVCKPNGUUUVGGNFQWDNGMG[JQNG
NQQRUCTEJYKTGU (KIWTG CPFCHVGTOQPVJUURCEG
ENQUWTGYCUCEJKGXGFQPVJGWRRGTCTEJ#PŒZ
ŒCTEJYKTGYKVJCOGUKCNK\CVKQPNQQRYCURNCEGF
HQTVJGNQYGTUGEQPFOQNCTUFWTKPICRRTQZKOCVGN[
VJTGGOQPVJU (KIWTG *QYGXGTKVYCUPGEGUUCT[
VQRNCEGCOKPKKORNCPVCUCPCWZKNKCT[KPVJGURCEG
ENQUWTGQHVJGNQYGTTKIJVUGEQPFOQNCT1PEGURCEG
ENQUWTGYCUEQORNGVGFCŒZŒ$TCKFGF
CTEJYKTGYCURNCEGFQPVJGNQYGTCTEJCPFQPVJG
WRRGTCŒZŒWRRGTTKIKFCTEJYKTG (KIWTG
 1EENWUCNUGVVNGOGPVCFLWUVOGPVUYGTGEQPFWEVGF
CPFCHVGTOQPVJUVJGCRRNKCPEGUYGTGTGOQXGF
(KIWTG +VYCUFGEKFGFVQOQPKVQTVJGGTWRVKQP
QHVJGVJKTFOQNCTUCPFEQPVKPWGRGTHQTOKPIQEENWUCN
CFLWUVOGPVUQVQCXQKFWPFGUKTCDNGEQPVCEVU
4'57.65
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RTQLGEVKQP (KIWTG $KNCVGTCNOQNCTCPFECPKPGENCUU
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GTWRVKQPQHVJGWRRGTVJKTFOQNCT (KIWTG 1EENWUCN
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FWG VQ VJG HCEV VJCV VJGUG VGGVJ CTG EQPUKFGTGF
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CPF#TCUKPCOQPIQVJGTCWVJQTUKVJCUDGGP
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6JKU VTGCVOGPV QRVKQP YKNN DG UWEEGUUHWN QPN[ KH
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VQUGNGEVVJGECUGRTQRGTN[CPFJCXGIQQFEQPVTQN
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VJCVCEEQTFKPIVQ5GFFQP  VTGCVOGPVUYKVJſTUV
OQNCTGZVTCEVKQPUOC[NCUVVQOQPVJUOQTGVJCP
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YYYOGFKITCRJKEQTIOZ
UMGNGVCNQRGPDKVGECUGU+VKUKORQTVCPVVQEQPUKFGT
VJCVVJKUVJGTCRGWVKECNVGTPCVKXGFGOCPFUCPCFGSWCVG
ECUGUGNGEVKQPCPFCJKIJNGXGNQHENKPKECNGZRGTVKUGCPF
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CPFGZRGEVCVKQPU
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 .QRG\)CXKVQ)9CNNGP64.KVVNG4/,QQPFGRJ&4#PVGTKQT
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Pérez CG et al. Open bite treatment with first molar extraction
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