Mordia Abierta Exo Molar
Mordia Abierta Exo Molar
mx
4GXKUVC/GZKECPCFG1TVQFQPEKC
8QN0Q 1EVQDGT&GEGODGT
RR
e264–e270
%#5'4'2146
1RGPDKVGVTGCVOGPVYKVJſTUVOQNCTGZVTCEVKQP
%CUGTGRQTV
6TCVCOKGPVQFGOQTFKFCCDKGTVCEQPGZVTCEEKQPGU
FGRTKOGTQUOQNCTGU4GRQTVGFGECUQ
)WKNNGTOQ2ÃTG\%QTVG\ 6GN[#FTKCPC5QVQ%CUVTQh0CPE[+XGVVG)CNNCTFQ#NHCTQ+++FCNKC5GNGPG+UCKU2GÌC++
#$564#%6 4'57/'0
6JG GZVTCEVKQP QH HKTUV RGTOCPGPV OQNCTU KU C XKCDNG QRVKQP HQT .CGZVTCEEKÎPFGRTKOGTQUOQNCTGURGTOCPGPVGUGUWPCCNVGTPCVK
VJGVTGCVOGPVQHOKNFVQOQFGTCVGFKUETGRCPEKGUQHVJGOCZKNNCT[ XCXKCDNGRCTCGNVTCVCOKGPVQFGFKUETGRCPEKCUNGXGUQOQFGTCFCU
UVTWEVWTGUKPRCVKGPVUYKVJQRGPDKVG6JGVJGTCRGWVKEIQCNKUVQ FGNCUGUVTWEVWTCUOCZKNCTGUGPRCEKGPVGUEQPOQTFKFCCDKGTVCGN
EQTTGEVVJGOCNQEENWUKQPYJKNGVT[KPIVQECOQWHNCIGVJGUMGNGVCN QDLGVKXQVGTCRÃWVKEQGUEQTTGIKTNCOCNQENWUKÎPCNVKGORQSWGUGKP
RTQDNGO#ECUGTGRQTVKURTGUGPVGFQHCRCVKGPVYJQYCUVTGCVGF VGPVCFKUKOWNCTGNRTQDNGOCGUSWGNÃVKEQ5GRTGUGPVCECUQENÈPKEQFG
YKVJGZVTCEVKQPUQHHKTUVRGTOCPGPVOQNCTKPQTFGTVQEQTTGEVVJG WPCRCEKGPVGVTCVCFCEQPGZVTCEEKQPGUFGRTKOGTQUOQNCTGURGTOC
OQFGTCVG UMGNGVCN QRGP DKVG VJTQWIJ OCPFKDWNCT TQVCVKQP VJWU PGPVGURCTCEQTTGEEKÎPFGOQTFKFCCDKGTVCGUSWGNÃVKECOQFGTCFC
CEJKGXKPICHWPEVKQPCNQEENWUKQPCPFHCXQTCDNGEQUOGVKETGUWNVU6JG NQITCPFQTQVCEKÎPOCPFKDWNCTWPCQENWUKÎPHWPEKQPCN[TGUWNVCFQU
CKOQHVJKUTGRQTVKUVQUJQYVJCVCHVGTRTQRGTECUGUGNGEVKQPCPF GUVÃVKEQUHCXQTCDNGU'NQDLGVKXQFGGUVGCTVÈEWNQGUFGOQUVTCTSWG
CIQQFFKCIPQUKUſTUVOQNCTGZVTCEVKQPUCTGCUWKVCDNGCNVGTPCVKXG FGURWÃUFGWPCCFGEWCFCUGNGEEKÎPFGNECUQRQTOGFKQFGWP
VTGCVOGPVHQTUMGNGVCNQRGPDKVGU DWGPFKCIPÎUVKEQNCUGZVTCEEKQPGUFGRTKOGTQUOQNCTGUTGUWNVCP
WPCDWGPCCNVGTPCVKXCFGVTCVCOKGPVQGPGNECUQFGOQTFKFCUCDKGT
VCUFGQTKIGPGUSWGNGVCN
-G[YQTFU1RGPDKVGſTUVOQNCTGZVTCEVKQPUXGTVKECNFKUETGRCPE[
2CNCDTCUENCXG/QTFKFCCDKGTVCGZVTCEEKÎPFGRTKOGTQUOQNCTGUFKUETGRCPEKCXGTVKECN
+0641&7%6+10 ECUGTGRQTVUKPVJGNKVGTCVWTGQHRCVKGPVUYKVJQRGPDKVGU
VTGCVGFD[OGCPUQHſTUVOQNCTGZVTCEVKQPU#TX[UVCU
%CPWV FGHKPGF QRGP DKVG CU VJG QDXKQWU NCEM QH KPTGRQTVGFQPGQHVJGHKTUVECUGUHQNNQYGFD[
EQPVCEVDGVYGGPVJGWRRGTCPFNQYGTVGGVJQHFGPVCN 8CFGP KP CPF #TCU KP COQPI QVJGTU
QTUMGNGVCNQTKIKPVJGNCVVGTFWGVQKVUOWNVKHCEVQTKCN 6JGUGECUGUYGTGVTGCVGFWPFGTVJGRTKPEKRNGVJCVD[
GVKQNQI[ CPF EQPUGSWGPEGU TGRTGUGPVU C ITGCV GNKOKPCVKPIRQUVGTKQTEQPVCEVRQKPVU RQUUKDNGHWNETWOU
EJCNNGPIGHQTVJGQTVJQFQPVKUVDGECWUGFGURKVGVJGHCEV CPF OQXKPI VJG RQUVGTKQT UGIOGPV OGUKCNN[ C
VJCVGZVGPUKXGTGUGCTEJJCUDGGPEQPFWEVGFQPVJKU OCPFKDWNCTCPVGTKQTTQVCVKQPYQWNFQEEWTVJWUENQUKPI
CPQOCN[VJGTGKUHGCTKPVJGGVKQNQI[KFGPVKſECVKQPCPF VJGCPVGTKQTQRGPDKVG*QYGXGTHQTVJKUVTGCVOGPV
KPVJGRTQRGTVTGCVOGPVUGNGEVKQPVJCVFGNKXGTUUVCDNG CNVGTPCVKXG VQ DG UWEEGUUHWN YKVJ UVCDNG HWPEVKQPCN
HWPEVKQPCNCPFCGUVJGVKETGUWNVU
YYYOGFKITCRJKEQTIOZ
%WTTGPVN[VJGQTVJQFQPVKUVJCUCPWODGTQHVTGCVOGPV
TGUWNVUKVKUPGEGUUCT[VQFQCRTQRGTECUGUGNGEVKQP
© 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
Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
e265
(KIWTG
+PKVKCNHCEKCNCPCN[UKU
(KIWTG
Q
Q
Q
Q
Q
Q (KIWTG
Q
Q
Q Q OO OO
Q
Q %GRJCNQOGVTKE CPCN[UKU YJGTG
OO C J[RGTFKXGTIGPV RCVVGTP CPF
OO C EQPUKFGTCDNG WRRGT KPEKUQT
RTQENKPCVKQPCTGPQVGF
%#5'4'2146
&KCIPQUKU
YYYOGFKITCRJKEQTIOZ
(GOCNGRCVKGPVQH[GCTUOQPVJUQHCIGYKVJ
IQQFQXGTCNNJGCNVJCVVGPFUVJG1TVJQFQPVKEU%NKPKE
CV VJG #WVQPQOQWU 7PKXGTUKV[ QH $CLC %CNKHQTPKC
/GZKECNK%CORWUVQUGGMQTVJQFQPVKEECTG1PJGT
HCEKCNCPCN[UKUCUNKIJVCU[OOGVT[CEQPXGZRTQſNG
CPFCTGVTWUKXGEJKPYGTGQDUGTXGF (KIWTG 1PVJG
KPVTCQTCNCPCN[UKU (KIWTG CPQXQKFUJCRGFWRRGT
CTEJIKPIKXCNTGEGUUKQPQHVJGWRRGTNGHVNCVGTCNKPEKUQT (KIWTG+PKVKCNRCPQTCOKETCFKQITCRJ
Pérez CG et al. Open bite treatment with first molar extraction
e266
(KIWTG&KCIPQUVKEUGVWR+PKVKCNN[UGEQPFOQNCTUYGTGGNKOKPCVGFYKVJPQUWEEGUU$[GZVTCEVKPIVJGſTUVOQNCTUCFGETGCUG
KPVJGCPVGTKQTQRGPDKVGYCUQDVCKPGF
(KIWTG
#NKIPOGPVCPFNGXGNKPI1RGPEQKNVQ
ICKPURCEGHQTVJGWRRGTNGHVECPKPG
YYYOGFKITCRJKEQTIOZ
(KIWTG
5RCEGENQUWTGD[OGUKCNK\CVKQPQHVJG
RQUVGTKQTUGIOGPVU
Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
e267
(VWHGRFXPHQWRHVHODERUDGRSRU0HGLJUDSKLF
(KIWTG
/GUKCNK\CVKQPQHVJGNQYGTUGEQPF
OQNCTU
YYYOGFKITCRJKEQTIOZ
(KIWTG
1EENWUCNUGVVNKPIRJCUG
Pérez CG et al. Open bite treatment with first molar extraction
e268
(KIWTG
Q
Q
YYYOGFKITCRJKEQTIOZ
Q
+PKVKCNCPFſPCNEGRJCNQITCOU
Revista Mexicana de Ortodoncia 2015;3 (4): e264-e270
e269
(KIWTG
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
(KIWTG%JKPRTQLGEVKQP
CFLWUVOGPVUQVQCXQKFWPFGUKTCDNGEQPVCEVU
4'57.65
6TGCVOGPVRTQITGUU
YYYOGFKITCRJKEQTIOZ
# OWNVKFKUEKRNKPCT[ VTGCVOGPV YCU RGTHQTOGF
#HVGT OQPVJU QH VTGCVOGPV VJG HCEKCN CZKU
KPETGCUGF VJGOCPFKDWNCTCZKUFGETGCUGF CPF
Q Q
(KIWTG(KPCNRCPQTCOKETCFKQITCRJ
4'6'06+10
#EKTEWOHGTGPVKCNTGOQXCDNGTGVCKPGTYCURNCEGFQP
VJGWRRGTCTEJCPFKPVJGNQYGTCſZGFTGVCKPGTHTQO
ECPKPGVQECPKPG (KIWTG
&+5%755+10
1TVJQFQPVKEVTGCVOGPVYKVJſTUVOQNCTGZVTCEVKQPUKU
CVJGTCRGWVKEQRVKQPVJCVPQYCFC[UECWUGUEQPVTQXGTU[
FWG VQ VJG HCEV VJCV VJGUG VGGVJ CTG EQPUKFGTGF
HWPFCOGPVCNMG[UVQVJGQEENWUKQP*QYGXGTKPVJG
RCRGTUD[#TX[UVCUKP8CFGPKP5WNCKOCPKP
CPF#TCUKPCOQPIQVJGTCWVJQTUKVJCUDGGP (KIWTG4GVGPVKQP
UVCVGFVJCVUMGNGVCNQRGPDKVGVTGCVOGPVYKVJſTUVOQNCT
GZVTCEVKQPURTQXKFGUHWPEVKQPCNTGUWNVUYKVJOQTGUVCDKNKV[ GXCNWCVKQPQHQTVJQFQPVKECNN[VTGCVGFRCVKGPVU#O,1TVJQF
VJCPVJQUGQDVCKPGFKPPQPGZVTCEVKQPVTGCVOGPVU
6JKU VTGCVOGPV QRVKQP YKNN DG UWEEGUUHWN QPN[ KH 'PINKUJ,&'CTN[VTGCVOGPVQHUMGNGVCNQRGPDKVGOCNQEENWUKQPU
#O,1TVJQF&GPVQHCEKCN1TVJQR
VJGENKPKEKCPJCUVJGENKPKECNCDKNKV[CPFGZRGTKGPEG
#N'OTCP 5'5 'ZVTCEVKQP QH HKTUV RGTOCPGPV OQNCTU KP VJG
VQUGNGEVVJGECUGRTQRGTN[CPFJCXGIQQFEQPVTQN OCPCIGOGPVQHCPVGTKQTQRGPDKVGOCNQEENWUKQP5CWFK&GPVCN
QXGTVJGDKQOGEJCPKEU+VKUKORQTVCPVVQEQPUKFGT ,QWTPCN
VJCVCEEQTFKPIVQ5GFFQP VTGCVOGPVUYKVJſTUV 8CFGP,.0QPUWTIKECNVTGCVOGPVQHVJGRCVKGPVYKVJXGTVKECN
FKUETGRCPE[#O,1TVJQF&GPVQHCEKCN1TVJQR
OQNCTGZVTCEVKQPUOC[NCUVVQOQPVJUOQTGVJCP
EQPXGPVKQPCNVTGCVOGPVU FG(KIWGKTGFQ/#'CTN[VQQVJGZVTCEVKQPKPVJGVTGCVOGPVQH
CPVGTKQTQRGPDKVGKPJ[RGTFKXGTIGPVRCVKGPVU9QTNF,1TVJQF
%10%.75+105
%JWK5JCP60)1TVJQFQPVKEVTGCVOGPVQHCPVGTKQTQRGPDKVG
(KTUVOQNCTGZVTCEVKQPUCTGCIQQFVTGCVOGPVQRVKQP +PVGTPCVKQPCN,QWTPCNQH2GCFKCVTKE&GPVKUVT[
5CPFNGT2,(QTHQWTUKZGU#,1&1
VJCVRTQXKFGUUVCDNGHWPEVKQPCNCPFGUVJGVKETGUWNVUHQT 1TVKCN,28GTVKECNFKOGPUKQPCPFVJGTCRGWVKEEJQKEGU#O,
YYYOGFKITCRJKEQTIOZ
UMGNGVCNQRGPDKVGECUGU+VKUKORQTVCPVVQEQPUKFGT
VJCVVJKUVJGTCRGWVKECNVGTPCVKXGFGOCPFUCPCFGSWCVG
1TVJQF&GPVQHCEKCN1TVJQR
#TX[UVCU/)6TGCVOGPVQHCPVGTKQTUMGNGVCNQRGPDKVGFGHQTOKV[
ECUGUGNGEVKQPCPFCJKIJNGXGNQHENKPKECNGZRGTVKUGCPF #O,1TVJQF
5GFFQP,.'ZVTCEVKQPQHHQWTſTUVOQNCTUCECUGHQTCIGPGTCN
UMKNNKPQTFGTPQVVQEQORTQOKUGVJGVTGCVOGPVTGUWNVU RTCEVKVKQPGT!,1TVJQF
CPFGZRGEVCVKQPU (T¼PMGN4#HWPEVKQPCNCRRTQCEJVQVTGCVOGPVQHUMGNGVCNQRGP
DKVG#O,1TVJQF
4'%1//'0&'&4'#&+0)5 %CPIKCNQUK6,5MGNGVCNOQTRJQNQIKEHGCVWTGUQHCPVGTKQTQRGP
DKVG#O,1TVJQF
#TCU#8GTVKECNEJCPIGUHQNNQYKPIQTVJQFQPVKEGZVTCEVKQPVTGCVOGPV
KPUMGNGVCNQRGPDKVGUWDLGEVU'WT,1TVJQF /CKNKPICFFTGUU
.QRG\)CXKVQ)9CNNGP64.KVVNG4/,QQPFGRJ&4#PVGTKQT )WKNNGTOQ2ÃTG\%QTVG\
QRGPDKVGOCNQEENWUKQPCNQPIKVWFKPCN[GCTRQUVTGVGPVKQP 'OCKNIOQQTVQ"[CJQQEQO