82385874
82385874
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4GXKUVC/GZKECPCFG1TVQFQPEKC
8QN0ÕO 'PGTQ/CT\Q
RR %#51%. 0+%1
6TCVCOKGPVQFGWPCOCNQENWUKÎPENCUG++FKXKUKÎP
GPWPRCEKGPVGCFWNVQ4GRQTVGFGWPECUQ
6TGCVOGPVQHCENCUU++FKXKUKQPOCNQEENWUKQP
KPCPCFWNVRCVKGPV#ECUGTGRQTV
#WTQTC'USWKXGN#NXKTFG ,CKOG#IWKNCT#EGXGFQh4QUC/CTÈC#TCPFC)QP\¶NG\++
4'57/'0 #$564#%6
4GRQTVGFGWPECUQENÈPKEQFGWPRCEKGPVGOCUEWNKPQFGCÌQUFG %CUGTGRQTVQHC[GCTQNFOCNGRCVKGPVYJQRTGUGPVGFCUMGNGVCN
GFCFSWKGPRTGUGPVÎWPCENCUG+GUSWGNGVCNEQPETGEKOKGPVQPGWVTQ ENCUU+YKVJPGWVTCNITQYVJCENCUU++FKXKUKQPFGPVCNOCNQEENWUKQP
WPCOCNQENWUKÎPENCUG++FKXKUKÎPRTQVTWUKÎP[RTQKPENKPCEKÎPFGKP RTQVTWUKQP CPF RTQENKPCVKQP QH WRRGT CPF NQYGT KPEKUQTUWRRGT
EKUKXQUUWRGTKQTGUGKPHGTKQTGUCRKÌCOKGPVQOQFGTCFQUWRGTKQT[NGXG OQFGTCVGCPFNQYGTOKNFETQYFKPI*GCNUQRTGUGPVGFCPQXGTLGV
KPHGTKQTUQDTGOQTFKFCJQTK\QPVCNFGOO[UQDTGOQTFKFCXGTVKECNFG QHOOCPFCOOQXGTDKVGVJGOCZKNNCT[FGPVCNOKFNKPGYCU
OONÈPGCOGFKCOCZKNCTFGUXKCFCCNCFGTGEJC7PCHQTOCFGCT FGXKCVGF VQ VJG TKIJV # USWCTGF OCZKNNCT[ CTEJ CPF CP QXCN
ECFCOCZKNCTEWCFTCFC[CTECFCOCPFKDWNCTQXCN.QUQDLGVKXQUHWG OCPFKDWNCTCTEJ6JGQDLGEVKXGUYGTGVQOCKPVCKPVJGRTQſNGCPF
TQPOCPVGPGTGNRGTſN[NCENCUG+GUSWGNÃVKECGNKOKPCTCRKÌCOKGPVQ[ UMGNGVCNENCUU+GNKOKPCVGETQYFKPICPFEQTTGEVVJGVGGVJCZKCNCZKU
EQTTGIKTGNGLGCZKCNFGNQUFKGPVGUEQPUGIWKTENCUG+ECPKPCDKNCVGTCN VQQDVCKPDKNCVGTCNECPKPGENCUU+CPFOCKPVCKPCDKNCVGTCNENCUU++
OCPVGPGTNCENCUG++OQNCTDKNCVGTCNEQPUGIWKTCFGEWCFCUQDTGOQTFK OQNCTTGNCVKQPUJKRVQQDVCKPCPCFGSWCVGQXGTDKVGCPFQXGTLGV
FCXGTVKECN[JQTK\QPVCNEGPVTCTNÈPGCOGFKCQDVGPGTDWGPDCNCPEG[ EQTTGEVVJGOKFNKPGCPFQDVCKPCIQQFDCNCPEGCPFQEENWUCNHWPEVKQP
HWPEKÎPQENWUCN'NVTCVCOKGPVQEQPUKUVKÎGPGZVTCEEKQPGUFGRTKOGTQU 6TGCVOGPVEQPUKUVGFKPGZVTCEVKQPQHVJGOCZKNNCT[HKTUVDKEWURKFU
RTGOQNCTGUUWRGTKQTGU[CRCTCVQNQIÈCQTVQFÎPVKECſLCFGCEWGTFQEQP CPFſZGFQTVJQFQPVKECRRNKCPEGUCEEQTFKPIVQVJGRJKNQUQRJ[CPF
NCſNQUQHÈC[VÃEPKECFG4QVJ.CTGVGPEKÎPWVKNK\CFCHWGTGOQXKDNGUW VGEJPKSWGQH4QVJ4GVGPVKQPYCUCTGOQXCDNGWRRGTTGVCKPGTCPFC
RGTKQTGKPHGTKQTCUÈEQOQTGVGPGFQTſLQKPHGTKQT ſZGFQPGQPVJGNQYGTCTEJ
2CNCDTCUENCXG/CNQENWUKÎPENCUG++GZVTCEEKQPGURTQVTWUKÎP
-G[YQTFU/CNQEENWUKQPENCUU++GZVTCEVKQPURTQVTWUKQP
+0641&7%%+¦0 OQNCTGUUWRGTKQTGUUQPKPFKECFCUEWCPFQPQJC[CRKÌC
OKGPVQQFKUETGRCPEKCEGHCNQOÃVTKECGPGNCTEQOCPFK
&GNQURCEKGPVGUCVGPFKFQUGPGN&GRCTVCOGPVQFG1T DWNCTUVQUUQPRTQDCDNGOGPVGNQUFKGPVGUSWGO¶U
VQFQPEKCFGNC&KXKUKÎPFG'UVWFKQUFG2QUVITCFQG+PXGU UGGZVTCGPRCTCRTQRÎUKVQUQTVQFÎPVKEQU FGCEWGTFQEQP
VKICEKÎPFGNC70#/NCUOCNQENWUKQPGUFGENCUG++FG#P GNFKCIPÎUVKEQFGNCſNQUQHÈCQTVQFÎPVKECSWGUGCRNKSWG
INGQEWRCPECUKGNFGNVQVCNFGRCEKGPVGUTGEKDKFQU RCTCECFCVTCVCOKGPVQ RQTVGPGTWPCNQECNK\CEKÎPEQP
.QUVTCVCOKGPVQUKPFKECFQURQTNCſNQUQHÈC[VÃEPK XGPKGPVGGPVTGNQUUGIOGPVQUCPVGTKQTGU[RQUVGTKQTGU
ECFG4QVJRCTCNCUOCNQENWUKQPGUENCUG++UGGHGE .CXCTKCEKÎPGPNCUGEWGPEKCFGGZVTCEEKQPGUKPENW
VÕCPFGCEWGTFQEQPNCGNCDQTCEKÎPFGWPFKCIPÎUVK [GUWRGTKQTGUQKPHGTKQTGURTKOGTQUQUGIWPFQURTG
EQ[RNCPFGVTCVCOKGPVQSWGRQFT¶XCTKCTGPTGNCEKÎP OQNCTGU[UQPTGEQOGPFCFQURQTFKHGTGPVGUCWVQTGU
YYYOGFKITCRJKEQTIOZ
EQPNCGFCFGPNCSWGUQPCVGPFKFQUNQURCEKGPVGU
#EVWCNOGPVGGNPÕOGTQFGRCEKGPVGUCFWNVQUSWGTG
RQTNCITCPXCTKGFCFFGVÃEPKECUGZKUVGPVGUGPNCCE
VWCNKFCF
SWKGTGPVTCVCOKGPVQFGQTVQFQPEKCUGJCKPETGOGPVCFQ
ITCFWCNOGPVGRQTNQSWGNCEQTTGEEKÎPFGGUVGVKRQFG
OCNQENWUKQPGUUGEGPVTCGPEQTTGIKTEQORGPUCTQEC
'ITGUCFC
OWƀCLGCTNCOCNQENWUKÎPSWGRTGUGPVCPGUVQURCEKGP h
#ECFÃOKEQ
VGUSWG[CJCPEQPENWKFQUWGVCRCFGETGEKOKGPVQ ++
'UVWFKCPVG
2CTCTGCNK\CTNCEQTTGEEKÎPFGNCUOCNQENWUKQPGUENC
UG++GPRCEKGPVGUCFWNVQUNCUGZVTCEEKQPGURWGFGPKP &GRCTVCOGPVQFG1TVQFQPEKCFGNC&'2G+(170#/
ENWKTNQUFQURTGOQNCTGUOCZKNCTGU[NQUFQURTGOQNCTGU 'UVGCTVÈEWNQRWGFGUGTEQPUWNVCFQGPXGTUKÎPEQORNGVCGP
OCPFKDWNCTGU.CUGZVTCEEKQPGUFGÕPKECOGPVGNQURTG JVVRYYYOGFKITCRJKEEQOQTVQFQPEKC
© 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/).
'USWKXGN##[EQNU6TCVCOKGPVQFGWPCOCNQENWUKÎPENCUG++FKXKUKÎPGPWPRCEKGPVGCFWNVQ
2QTNQIGPGTCNPQUQPNCUECTCEVGTÈUVKECUGUSWG 'NGZCOGPKPVTCQTCNTGXGNCSWGGNRCEKGPVGRTGUGPVC
NÃVKECUSWGUGRTGUGPVCPGPWPCOCNQENWUKÎPENCUG ENCUG++OQNCT[ENCUG++ECPKPCDKNCVGTCNCRKÌCOKGP
++GNFGVGTOKPCPVGRTKPEKRCNFGEÎOQUGFGDGVTCVCT VQOQFGTCFQCPVGTKQTUWRGTKQTGKPHGTKQTNÈPGCOGFKC
OGFKCPVGFQUQEWCVTQGZVTCEEKQPGUFGRTGOQNCTGU OCZKNCTFGUXKCFCCNCFGTGEJCUQDTGOQTFKFCJQTK\QP
UKPQO¶UDKGPGNGHGEVWCTWPFKCIPÎUVKEQEQORNGVQ[ VCNFGOOUQDTGOQTFKFCXGTVKECNFGOONCCTECFC
GXCNWCTNQUCURGEVQUFGVGTOKPCPVGURCTCECFCECUQ FGHQTOCEWCFTCFCGPOCZKNCTCUÈEQOQNCCTECFCFG
ENÈPKEQ HQTOCQXCNCFCGPOCPFÈDWNC[NQUVGLKFQUUGQDUGTXCP
UCPQURGTKQFQPVCNOGPVG (KIWTC
24'5'06#%+¦0&'.%#51%. 0+%1 &GCEWGTFQCNCP¶NKUKUFGNQUGUVWFKQUEGHCNQOÃVTK
EQUÃUVQUFGVGTOKPCPSWGUWURQTEKQPGUOCZKNCTGU
2CEKGPVGOCUEWNKPQFGCÌQUFGGFCF5GRTG UQPCFGEWCFCU[RTGUGPVCWPCENCUG+GUSWGNÃVKEC
UGPVCGPNC%NÈPKECFG1TVQFQPEKCFGNC&'2G+FGNC ETGEKOKGPVQPGWVTQCUÈEQOQRTQKPENKPCEKÎP[RTQVTW
(CEWNVCFFG1FQPVQNQIÈC70#/EQPOQVKXQFGEQP UKÎPFGPVQCNXGQNCT
UWNVCnCTTGINCTOGNQUFKGPVGURQTSWGGUV¶PEJWG .CTCFKQITCHÈCRCPQT¶OKECTGXGNCNCRTGUGPEKCFG
EQU VGTEGTQUOQNCTGUUWRGTKQTGUGKPHGTKQTGUKPENWKFQUCUÈ
#NCGZRNQTCEKÎPENÈPKECGZVTCQTCNRTGUGPVCWPRC EQOQNCTGNCEKÎPEQTQPCTCÈ\FGNQUÎTICPQU
VTÎPUKOÃVTKEQOGUQHCEKCNEQPRGTſNTGEVQ[CTOQPÈC FGPVCTKQUGTWREKQPCFQU[EQPHWPEKÎPPQUGQDUGTXCP
NCDKCN (KIWTC RCVQNQIÈCUCRCTGPVGU (KIWTC
(KIWTC
(QVQITCHÈCUGZVTCQTCNGUKPKEKCNGU
(KIWTC
YYYOGFKITCRJKEQTIOZ (QVQITCHÈCUKPVTCQTCNGUKPKEKCNGU
(KIWTC
4CFKQITCHÈCU[EGHCNQOGVTÈCKPK
EKCNGU
4GXKUVC/GZKECPCFG1TVQFQPEKC
(KIWTC
/QFGNQUFGGUVWFKQKPKEKCNGU
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%QPVKPÕC%WCFTQ+%GHCNQOGVTÈCFGNCP¶NKUKUKPVGITCFQ
6GLKFQUDNCPFQU
YYYOGFKITCRJKEQTIOZ (KIWTC
5GEWGPEKCFGNVTCVCOKGPVQ
'PGNCP¶NKUKUFGOQFGNQUUGQDVWXQWPTGUWNVCFQ 1DLGVKXQUFGNVTCVCOKGPVQ
FGFKUETGRCPEKCFGPVCNGPTGNCEKÎPEQPGNGURCEKQFKU
RQPKDNGFGOOGPOCZKNCT[OOGPCTEQOCPFK .QUQDLGVKXQUHWGTQPOCPVGPGTGNRGTHKN[NCENC
DWNCT (KIWTC UG+GUSWGNÃVKEC[CSWGGZKUVGCTOQPÈCHCEKCN5G
4GXKUVC/GZKECPCFG1TVQFQPEKC
(KIWTC
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(KIWTC
4CFKQITCHÈCUſPCNGU
YYYOGFKITCRJKEQTIOZ
YYYOGFKITCRJKEQTIOZ
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/QFGNQUFGGUVWFKQſPCNGU
%WCFTQ++%GHCNQOGVTÈCFGCP¶NKUKUFGNC70#/
YYYOGFKITCRJKEQTIOZ
RNCPGÎGNKOKPCTGNCRKÌCOKGPVQCFGO¶UFGNQITCTNC #NVGTPCVKXCUFGVTCVCOKGPVQ
EQTTGEEKÎPFGNGLGCZKCNFGNQUFKGPVGURCTCNQITCT
GUVCDKNKFCFGPGNVTCVCOKGPVQCUÈEQOQQDVGPGTNC 5GCPCNK\CTQPFKXGTUQURTQEGFKOKGPVQURCTCNNGXCTC
ENCUG+ECPKPCDKNCVGTCN[OCPVGPGTNCENCUG++OQNCT ECDQGNVTCVCOKGPVQUGNGEEKQPCPFQGNSWGEWORNÈCFG
DKNCVGTCNGZKUVGPVG&GPVTQFGNQUQDLGVKXQUVCODKÃP WPCOGLQTHQTOCEQPNQUQDLGVKXQURTQRWGUVQU
UGRNCPVGÎNCEQTTGEEKÎPFGNCUQDTGOQTFKFCXGTVKECN %QOQ RTKOGTC QREKÎP FG VTCVCOKGPVQ UG RTQ
[JQTK\QPVCNCUÈEQOQFGNCNÈPGCOGFKCRCTCFG RQPGNCGZVTCEEKÎPFGRTKOGTQURTGOQNCTGUOCZK
GUVCOCPGTCQDVGPGTWPDCNCPEG[WPCOGLQTCGPNC NCTGU[OCPFKDWNCTGU[EQOQUGIWPFCCNVGTPCVKXC
HWPEKÎPQENWUCN NCGZVTCEEKÎPFGUGIWPFQURTGOQNCTGUOCZKNCTGU
4GXKUVC/GZKECPCFG1TVQFQPEKC
%10%.75+10'5 FKHHGTGPVHCEVQTU#OGTKECP,QWTPCNQH1TVJQFQPVKEUCPF&GPVQHC
EKCN1TVJQRGFKEU
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2CTCNQITCTNQUTGUWNVCFQUFGUGCFQUGZKUVGPFKXGT VTGCVOGPVQPENCUU+CPFENCUU++UWDLGEVU#PING1TVJQFQPVKUV
UQUOÃVQFQUFGFKCIPÎUVKEQSWGCRQ[CPNCQDVGPEKÎP
FGWPRNCPFGVTCVCOKGPVQKPFKXKFWCNK\CFQ[FGGUVC 5CN\OCPP,#2TCEVKEGQHQTVJQFQPVKEU2JKNCFGNRJKC,$.KRRKP
HQTOCNQITCTNQUQDLGVKXQUXKUWCNK\CFQU EQVV%QORCP[RR
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.CUGZVTCEEKQPGUGPFKXGTUQUECUQUUKIWGPUKGPFQ FKXKUKQPOCNQEENWUKQPCHVGTRTGOQNCTGZVTCEVKQP&GRCTVOGPVQH
WPCJGTTCOKGPVCÕVKNRCTCNQITCTWPCCFGEWCFCQENW 1TVJQFQPVKEU5JGP\JGP%JKNFTGPŏU*QURKVCN5JGP\JGP
UKÎPUKPGODCTIQUKGORTGFGDGPUGTRNCPGCFCUCFG %JKPC
EWCFCOGPVG #N5KDCKG5*CLGGT/+#UUGUUOGPVQHEJCPIGUHQNNQYKPIGP
OCUUGTGVTCEVKQPYKVJOKPKKORNCPVUCPEJQTCIGEQORCTGFVQVYQ
4'('4'0%+#5 UVGRTGVTCEVKQPYKVJEQPXGPVKQPCNCPEJQTCIGKPRCVKGPVUYKVJENCUU
++FKXKUKQPOCNQEENWUKQPCTCPFQOK\GFEQPVTQNNGFVTKCN&G
RCTVOGPVQH1TVJQFQPVKEU7PKXGTUKV[QH#N$CCVJ&GPVCN5EJQQN
6CNNG[/-CVCIKTK/2ÃTG\*'%CUWÈUVKECFGOCNQENWUKQPGU
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ENCUG+ENCUG++[ENCUG+++UGIÕP#PINGGPGNFGRCTVCOGPVQFG
$QMCU,%QNNGVV6'HHGEVQHWRRGTRTGOQNCTGZVTCEVKQPUQPVJG
QTVQFQPEKCFGNC70#/4GXKUVC1FQPVQNÎIKEC/GZKECPC
RQUKVKQPQHVJGWRRGTNKR#WUV1TVJQF,5EJQQNQH&GPVKUVT[
%NGCNN,($GIQNG'#&KCIPQUKUCPFVTGCVOGPVQHENCUU++FKXKUKQP
5EQVV%QPNG[4,GTPKICP%5QHVVKUUWGEJCPIGUCHVGTWRRGTRTG
OCNQEENWUKQP#PING1TVJQF
OQNCTGZVTCEVKQPVJGTCR[&KXKUKQPQH7PKXGTUKV[/GFKECN%GPVGT
5VTCPI4*96TCVCFQFGQTVQFQPEKC$WGPQU#KTGU#TIGPVKPC
0CUJXKNNG6GPPGUUGG75##PING1TVJQF
'FKVQTKCN$KDNKQIT¶ſECRR
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CPFUQHVVKUUWGEJCPIGUKPENCUU++FKXKUKQPECUGUVTGCVGFYKVJ
OCNQEENWUKQPUYKVJUWEEGUUHWNQEENWUCNTGUWNVUCVGPFQHCEVKXG
CPFYKVJQWVGZVTCEVKQPU#O,1TVJQF&GPVQHCEKCN1TVJQR
VTGCVOGPV#O,1TVJQF&GPVQHCE1TVJQR
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5VCIIGTU,##EQORCTKUQPQHTGUWNVUQHUGEQPFOQNCTCPFſTUV
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9CPI<*WCPI%*CP.2TQIPQUKUQHWVKNKV[QHOQFKſGFUW
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RTCETGUVCNHKDGTQVQO[CPFEQPVCEVRQKPVTGRTQZKOCVKQPKPVJG
2TQHſV942JKNNKRU%&QWXCTV\KFKU0#EQORCTKUQPQHQWVEQ
VTGCVOGPVQHCPVGTKQTUGIOGPVETQYFKPI&GRCTVOGPVQH1T
OGUQHQTVJQFQPVKECPFUWTIKECNQTVJQFQPVKEVTGCVOGPVQHENCUU
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CPF&GPVQHCEKCN1TVJQRGFKEU &KTGEEKÎPRCTCEQTTGURQPFGPEKC
6CPGT5CTÆUQ[.&CTGPFGNKNGT06JGKPHNWGPEGQHGZVTCEVKQP #WTQTC'USWKXGN#NXKTFG
VTGCVOGPVQPETCPKQHCEKCNUVTWEVWTGUGXCNWCVKQPCEEQTFKPIVQVYQ 'OCKNEGQOGA"[CJQQEQO
YYYOGFKITCRJKEQTIOZ