www.medigraphic.org.

mx

4GXKUVC/GZKECPCFG1TVQFQPEKC
8QN0Q 1EVQDGT&GEGODGT
RR
e248–e254 %#5'4'2146

6JGTCRGWVKEOCPCIGOGPVQHCRUGWFQENCUU+++OCNQEENWUKQP
%CUGTGRQTV
#DQTFCLGVGTCRÃWVKEQFGNCOCNQENWUKÎPFGRUGWFQENCUG+++
4GRQTVGFGECUQENÈPKEQ
&KGIQ(GTPCPFQ.ÎRG\$WKVTCIQ%NCWFKC/CTEGNC%QTTCN5CCXGFTCh

#$564#%6 4'57/'0

5MGNGVCNENCUU+++FKUETGRCPE[JCUDGGPCVJGTCRGWVKEEJCNNGPIG .CFKUETGRCPEKCGUSWGNÃVKECFGENCUG+++JCUKFQWPTGVQVGTCRÃWVKEQ
FWGVQVJGHCEVVJCVKVUVJGTCRGWVKEOCPCIGOGPVUGGMUPQVQPN[VJG FGDKFQCSWGUWOCPGLQDWUECPQUÎNQNCEQTTGEEKÎPFGNCOCNQ
EQTTGEVKQPQHVJGOCNQEENWUKQPDWVCNUQVJGCGUVJGVKEEQORQPGPV ENWUKÎPUKPQVCODKÃPGNEQORQPGPVGGUVÃVKEQFGNRCEKGPVGSWGUG
QHVJGRCVKGPVYJKEJKUCHHGEVGFCEEQTFKPIVQVJGUGXGTKV[QHVJG XGCHGEVCFQFGCEWGTFQEQPNCUGXGTKFCFFGNCFKUETGRCPEKC#UÈ
FKUETGRCPE[.KMGYKUGCPVGTKQTETQUUDKVGUCTGEJCTCEVGTKUVKEQH OKUOQNCOQTFKFCETW\CFCCPVGTKQTECTCEVGTÈUVKECFGNCUOCNQENWUKQ
UMGNGVCNFGPVCNCPFGXGPHWPEVKQPCNENCUU+++OCNQEENWUKQPUCPF PGUENCUG+++VCPVQGUSWGNÃVKECUEQOQFGPVCNGUGKPENWUQHWPEKQPCNGU
OC[RTGXGPVUCIKVVCNOCZKNNCT[FGXGNQROGPVKPITQYKPIRCVKGPVU RWGFGKORGFKTGNFGUCTTQNNQUCIKVCNFGNOCZKNCTUWRGTKQTGPRCEKGPVGU
VJWUDGEQOKPICUMGNGVCNCPQOCN[*GPEGKVKUKORQTVCPVVQKPVGTEGRV GPETGEKOKGPVQ[FGUCTTQNNQEQPXKTVKGPFQWPCOCNQENWUKÎPGPWPC
VJKUOCNQEENWUKQPCUGCTN[CURQUUKDNGKPQTFGTVQRTGXGPVKVHTQO TGCNCNVGTCEKÎPGUSWGNÃVKEC&GCNNÈNQKORQTVCPVGFGKPVGTEGRVCTGUVC
VTCPUHQTOKPIKPVQCVTWGFKUETGRCPE[6JKUECUGTGRQTVFKUEWUUGUVJG OCNQENWUKÎPNQO¶UVGORTCPQRQUKDNGRCTCKORGFKTSWGUGVTCPU
VKOGN[KPVGTXGPVKQPQHCRUGWFQ%NCUU+++OCNQEENWUKQPYKVJVJGCKO HQTOGGPWPCXGTFCFGTCFKUETGRCPEKC'NRTGUGPVGTGRQTVGRNCPVGC
QHEJCPIKPIVJGUCIKVVCNCPFXGTVKECNRQUKVKQPQHVJGKPEKUQTUVQIWKFG NCKPVGTXGPEKÎPQRQTVWPCFGNCOCNQENWUKÎPFGRUGWFQENCUG+++EQP
CPFOCKPVCKPVJGITQYVJTGOPCPVUVCDNGVQYCTFUC%NCUU+FGPVCN GNQDLGVKXQFGOQFKſECTNCRQUKEKÎPUCIKVCN[XGTVKECNFGNQUKPEKUKXQU
QEENWUKQPKPC[GCTQNFRCVKGPVYJQJCFRTGXKQWUN[TGEGKXGF RCTCIWKCT[OCPVGPGTGUVCDNGGNTGOCPGPVGFGETGEKOKGPVQJCEKC
QTVJQRGFKE VTGCVOGPV YKVJQWV C RQUKVKXG TGUWNV 6JG ECUG YCU WPCENCUG+FGPVCNGPWPCRCEKGPVGFGCÌQUSWKGPJCDÈCTGEKDKFQ
JCPFNGFKPVJGENKPKEUQHVJGRQUVITCFWCVG2TQITCOKP1TVJQFQPVKEU VTCVCOKGPVQQTVQRÃFKEQUKPWPTGUWNVCFQRQUKVKXQ'NECUQHWGOCPG
CVVJG&GPVCN5EJQQNQHVJG7PKXGTUKFCFFGN8CNNG%CNK%QNQODKC LCFQGPNCUENÈPKECUFGN2QUVITCFQFG1TVQFQPEKCFGNC'UEWGNCFG
1FQPVQNQIÈCFGNC7PKXGTUKFCFFGN8CNNG%CNK%QNQODKC

-G[YQTFU%NCUU+++OCNQEENWUKQPKPVGTEGRVKXGQTVJQFQPVKEUETQUUDKVG
2CNCDTCUENCXG/CNQENWUKÎPFGENCUG+++QTVQFQPEKCKPVGTEGRVKXCOQTFKFCETW\CFC

+0641&7%6+10 'CTN[ NQUU QH RTKOCT[ OQNCTU ECP CNUQ ECWUG

OCPFKDWNCT FKURNCEGOGPV FWG VQ EJCPIGU KP VJG
&GſPKVKQP QEENWUCNIWKFGQHRQQTN[CNKIPGFVGGVJQTVQVJGNKPIWCN
KPENKPCVKQPQHVJGOCZKNNCT[KPEKUQTU+VJCUDGGPHQWPFC
2UGWFQENCUU+++OCNQEENWUKQPHWPEVKQPCNDKVGQT UVCVKUVKECNN[UKIPKſECPVEQTTGNCVKQPDGVYGGPVJGNCEMQH
HCNUGENCUU+++OCNQEENWUKQPKUCRTQFWEVQHCPCESWKTGF OCZKNNCT[VGGVJUWEJCUCIGPGUKUQHVJGNCVGTCNKPEKUQTU
TGƀGZOCPFKDWNCTCFXCPEGOGPVFWGVQCFKUETGRCPE[ OCZKNNCT[J[RQRNCUKCRUGWFQ%NCUU+++CPFKORCEVGF
YYYOGFKITCRJKEQTIOZ
DGVYGGPEGPVTKETGNCVKQP
%4CPFEGPVTKEQEENWUKQP

%1+PVJKUCPQOCN[C%NCUU+++OQNCTTGNCVKQPUJKR
ECPKPGU
6JGEJCTCEVGTKUVKEUQHENCUU+++OCNQEENWUKQPUJCXG
KUHQWPFKPEGPVTKEQEENWUKQPCPFC%NCUU+KPEGPVTKE DGGPYGNNFQEWOGPVGFCPFFGUETKDGFKPVJGNKVGTCVWTG
TGNCVKQPKGVJGTGKUOGUKCNOCPFKDWNCTFKURNCEGOGPV
VQCEJKGXGVJGITGCVGUVPWODGTQHEQPVCEVUCPFOWUENG
TGNCZCVKQP+PITQYKPIRCVKGPVUKVOC[IKXGTCKUGVQC
 1TVJQFQPVKUV1TVJQFQPVKEU )TCFWCVG 2TQITCO 2TQHGUUQT
VTWGUMGNGVCNENCUU+++KHPQVEQTTGEVGFKPFWGEQWTUG 7PKXGTUKFCFFGN8CNNG%CNK%QNQODKC
2TGOCVWTGEQPVCEVUCVKPEKUQTNGXGNOC[TGUWNVKPC h
 1TVJQFQPVKEU )TCFWCVG 2TQITCO ECPFKFCVG 1TVJQFQPVKEU
HQTYCTFOQXGOGPVQHVJGOCPFKDNGKPRUGWFQENCUU+++ )TCFWCVG2TQITCO7PKXGTUKFCFFGN8CNNG%CNK%QNQODKC
OCNQEENWUKQPUKPQTFGTVQFKUGPICIGVJGKPEKUQTUCPF 6JKUCTVKENGECPDGTGCFKPKVUHWNNXGTUKQPKPVJGHQNNQYKPIRCIG
CNNQYENQUWTGYKVJVJGRQUVGTKQTVGGVJ JVVRYYYOGFKITCRJKEEQOQTVQFQPEKC

© 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.2016.03.065
Revista Mexicana de Ortodoncia 2015;3 (4): e248-e254
e249

ſPFKPICYKFGEQODKPCVKQPQHFGPVQCNXGQNCTCPFUMGNGVCN F+PEGPVTKETGNCVKQPVJGRCVKGPVŏURTQſNGKUUVTCKIJVCPF
EQORQPGPVU#OQPIVJGUMGNGVCNEQORQPGPVUVJGTG CVTGUVKVKUUNKIJVN[EQPECXG
CTGOCZKNNCT[J[RQRNCUKCOCPFKDWNCTRTQIPCVJKUO G%NCUU+OQNCTTGNCVKQPUJKRKPEGPVTKETGNCVKQPCPF
CPFOCETQIPCVJKCQTCEQODKPCVKQPQHDQVJ#OQPI ENCUU+++KPOCZKOWOKPVGTEWURCVKQP
VJGFGPVQCNXGQNCTEQORQPGPVUQPGOC[ſPFRTQENKPGF
OCZKNNCT[KPEKUQTUCPFTGVTQKPENKPGFOCPFKDWNCTKPEKUQTU 64'#6/'06
CU C FGPVQCNXGQNCT EQORGPUCVKQP 9KVJ TGICTF VQ 6JGKFGCNOQOGPVVQVTGCVRCVKGPVUYJQJCXGDGGP
RUGWFQENCUU+++OCNQEENWUKQPUOCP[QHKVUHGCVWTGU FKCIPQUGFYKVJCRUGWFQENCUU+++OCNQEENWUKQPXCTKGU
JCXGDGGPOKUWPFGTUVQQFVJTQWIJVJG[GCTU6YGGF CEEQTFKPIVQVJGFGPVKVKQPUGXGTKV[CPFHCEKCNHGCVWTGU
ENCUUKſGFENCUU+++OCNQEENWUKQPUKPVQVYQECVGIQTKGU QHVJGRCVKGPVDWVGCTN[VTGCVOGPVKPRCVKGPVUYKVJOKNF
ECVGIQT[#CPFECVGIQT[$YJGTGECVGIQT[#YCU VQOQFGTCVGCPVGTKQTETQUUDKVGYJQGZJKDKVPQTOCN
FGHKPGF CU C RUGWFQENCUU +++ OCNQEENWUKQP YKVJ C EJCTCEVGTKUVKEUKPVJGKTUMGNGVCNTGNCVKQPUKUGUUGPVKCN
EQPXGPVKQPCNOCPFKDWNCTUJCRG(QTJKURCTV/Q[GTU VQRTGXGPVVJGOCNQEENWUKQPHTQOVWTPKPIKPVQCYGNN
UWIIGUVGFVJCVRUGWFQENCUU+++OCNQEENWUKQPYCUCDCF GUVCDNKUJGFUMGNGVCNENCUU+++CPQOCN[
RQUKVKQPCNTGNCVKQPUJKRECWUGFD[CPCESWKTGFTGƀGZ
/QUVVTGCVOGPVUDGIKPKPGCTN[UVCIGUQHVJGNCVG
9KVJVJKUKPOKPFRUGWFQENCUU+++OCNQEENWUKQPJCU
FGEKFWQWUQTGCTN[OKZGFFGPVKVKQPCPFGPFKPVJG
DGGPFGſPGFCUCHWPEVKQPCNCPVGTKQTETQUUDKVGFWGVQ
RGTOCPGPVFGPVKVKQP(QT&T6JKNCPFGT VTGCVOGPV
COGUKCNOCPFKDWNCTFKURNCEGOGPV
OWUV DG KPKVKCVGF KP VJG FGEKFWQWU FGPVKVKQP CPF
6JGKPHNWGPEGQHIGPGVKEUKPVJGGVKQNQI[QHVJKU
KV UJQWNF DG CKOGF CV VTGCVKPI VJG QTKIKP QH VJG
F[URNCUKC JCU DGGP YKFGN[ TGRQTVGF UVWFKGU QH
OCNQEENWUKQP QT VJG KPVGTHGTGPEG VJCV ECWUGF VJG
ETCPKQHCEKCN TGNCVKQPUJKRU KP VYKPU JCXG UWRRNKGF
OCPFKDWNCTFKURNCEGOGPV+PVJGECUGQHCDPQTOCN
WUGHWNKPHQTOCVKQPEQPEGTPKPIVJGTQNGQHIGPGVKEU
VGGVJKPENKPCVKQPUFGXKEGUVJCVKORTQXGFGPVQCNXGQNCT
KPVJKUOCNQEENWUKQP6JWU/CTMQYKV\SWQVGFD[&C
KPEKUQTKPENKPCVKQPCPFQXGTDKVGCPFQXGTLGVTGNCVKQPUJKRU
5KNXCKPRQKPVUVQVJGGZKUVGPEGQHCRQN[IGPKE
UJQWNFDGWUGF
VTCPUOKUUKQPPQVNKPMGFVQIGPFGTVJCVJCUDGGPRTQXGP
KPCUVWF[QHRCKTUQHKFGPVKECNVYKPUCPFUGXGP 6TGCVOGPVUVTCVGIKGU
HTCVGTPCNVYKPU(QWTVGGPKFGPVKECNVYKPUGZJKDKVGFVJG
UCOG%NCUU+++OCNQEENWUKQPCPFKPHTCVGTPCNVYKPU 6JGTGCTGFKHHGTGPVCNVGTPCVKXGUHQTVJGVJGTCRGWVKE
QPN[CEQWRNGRTGUGPVGFOCNQEENWUKQP OCPCIGOGPV QH RUGWFQENCUU +++ OCNQEENWUKQPU
RCTVKEWNCTN[VJQUGHQEWUGFQPCPQTVJQRGFKECRRTQCEJ
'VKQNQI[ CPFFGPVQCNXGQNCTKPENKPCVKQP6JGUGKPENWFGCET[NKE
KPENKPGFRNCPGCEVKXGGZRCPUKQPRNCVGURNCVGUYKVJ
&KHHGTGPVGVKQNQIKEHCEVQTUJCXGDGGPUWIIGUVGFD[ 'UEJGT QT RTQIGP[ CTEJGU 2NCPCU VTCEMU CPF VYQ
)KCPEQVVKGVCNHQTRUGWFQENCUU+++OCNQEENWUKQP D[HQWTQTVJQFQPVKEOGEJCPKEUUWEJCUVJGWVKNKV[QT
RTQVTWUKQPCTEJYKTG
&GPVCNHCEVQTU
(TQOCPQTVJQFQPVKEOCPCIGOGPVRQKPVQHXKGY
C 'EVQRKEGTWRVKQPQHOCZKNNCT[EGPVTCNKPEKUQTUQT
VJGTG CTG HGY ECUG TGRQTVU KP VJG NKVGTCVWTG HQT
ECPKPGU
RUGWFQENCUU+++OCNQEENWUKQP#PCEEWTCVGENKPKECN
D 2TGOCVWTGNQUUQHFGEKFWQWUOQNCTU
TCFKQITCRJKECPFHWPEVKQPCNFKCIPQUKUYKNNTGUWNVKP
(WPEVKQPCNHCEVQTU
CUWKVCDNGDKQOGEJCPKECNOCPCIGOGPVQHVJGECUG
C #DPQTOCNRQUKVKQPQHVJGVQPIWG
D 0GWTQOWUEWNCTHCEVQTU %.+0+%#.%#5'
YYYOGFKITCRJKEQTIOZ
E #KTYC[QTPCUCNTGURKTCVQT[RTQDNGOU
5MGNGVCNHCEVQTU (GOCNGRCVKGPVVJKTVGGP[GCTUQHCIGYKVJQWVCP[
C 5NKIJVVTCPUXGTUGOCZKNNCT[FKUETGRCPE[ TGNGXCPV FCVC QP JGT OGFKECN JKUVQT[ CVVGPFU VJG
/QTRJQNQIKECNEJCTCEVGTKUVKEUQHRUGWFQENCUU+++ 5EJQQN QH &GPVKUVT[ CV VJG &GN 8CNNG 7PKXGTUKV[ HQT
RCVKGPVU 1TVJQFQPVKEEQPUWNVCVKQP7RQPSWGUVKQPKPIHQTJGT
EJKGH EQORNCKPV UJG TGRNKGF n$GECWUG + JCXG CP
C9JGPKPEGPVTKETGNCVKQPVJGKPEKUQTUJCXGCPGFIG KPXGTVGFQXGTDKVG€
GFIGTGNCVKQPUJKR 7RQPENKPKECNGZCOKPCVKQPUJGFKFPQVUJQYCP[
D6JGOCPFKDNGKUPQTOCNKPUK\GCPFNGPIVJ FKUGCUGVJCVYQWNFDGCEQPVTCKPFKECVKQPHQTQTVJQFQPVKE
E 6JGWRRGTKPEKUQTUCTGTGVTQENKPGFCPFVJGNQYGTCTG VTGCVOGPV#UHQTJGTFGPVCNDCEMITQWPFVJGRCVKGPV
RTQVTWFGFQTKPCPQTOCNRQUKVKQP JCF TGEGKXGF KP JGT GCTN[ [GCTU UNQY OCZKNNCT[
 López BDF et al. Therapeutic management of a pseudo class III malocclusion
e250

GZRCPUKQP VTGCVOGPVU YKVJ TGOQXCDNG CRRNKCPEGU 5VWF[OQFGNUCPCN[UKU

2NCPCUVTCEMUCPFRTQIGP[CTEJGU
+P VJG CUUGUUOGPV QH VJG CTVKEWNCVGF OQFGNU KV
2J[UKECNCPFENKPKECNGZCOKPCVKQPTGXGCNGFCPQTOCN
DGECOG GXKFGPV VJCV VJGTG YCU C FGHNGEVKQP CPF C
ITQYVJCPFFGXGNQROGPVHQTJGTCIGCDTCEJ[HCEKCN
FKUETGRCPE[DGVYGGP%4CPF%1&KHHGTGPVCPCN[UGU
DKQV[RGCFGETGCUGFNQYGTVJKTFCPQTOCNUOKNGNKPG
YGTGRGTHQTOGFUWEJCU/Q[GTUCPF2QPVCPCN[UKU
HCEKCN OKFNKPG EQKPEKFGPV YKVJ VJG FGPVCN OKFNKPGU
/Q[GTUCPCN[UKUTGXGCNGFCOOFKUETGRCPE[
EQPECXG RTQHKNG KPETGCUGF PCUQNCDKCN CPF HNCV
DGVYGGPVJGTGSWKTGFCPFVJGCXCKNCDNGURCEGHQTVGGVJ
OGPVQNCDKCNCPINGU*GTNKRUYGTGKPEQORGVGPVCVTGUV
VQGTWRVKPVJGWRRGTCTEJCPFYKVJ2QPVCPCN[UKUC
CPFVJGNQYGTNKRYCUGXGTVGF
(KIWTG
UNKIJVVTCPUXGTUGPCTTQYPGUUYCUHQWPFKPDQVJCTEJGU
7RQPKPVTCQTCNGZCOKPCVKQPCRGTOCPGPVFGPVKVKQP
6JGQVJGTVGGVJYGTGKPCRGTEGPVKNGQHNCTIGVGGVJ
KU QDUGTXGF KP VJG NQYGT CTEJ CPF CP GCTN[ OKZGF
$QNVQPCPCN[UKUYCUPQVRGTHQTOGFDGECWUGVJGTGUVQH
QPGKPVJGWRRGTCTEJ6JGCPVGTKQTETQUUDKVGJCFC
VJGRGTOCPGPVVGGVJJCFPQV[GVGTWRVGF
(KIWTG
OOQXGTLGVCPFVJGEWTXGQH5RGGYCURTQPQWPEGF
KPVJGNQYGTCTEJYKVJKPEKUQTGZVTWUKQP6JGOQNCT 4CFKQITCRJKECPCN[UKU
TGNCVKQPUJKRYCUENCUU+++KPOCZKOCNKPVGTEWURCVKQP
CPF VJG ETQYFKPI YCU OKNF QP VJG NQYGT CTEJ CPF +PVJGRCPQTCOKETCFKQITCRJTQWPFGFEQPF[NGU
UGXGTGKPVJGWRRGT UJQTV OCPFKDWNCT TCOWU PQTOCN DQP[ VTCDGEWNCG
(WPEVKQPCN CPCN[UKU TGXGCNGF C JKUVQT[ QH QTCN YGNNFGſPGFEQTVKECNQHOCZKNNCT[UKPWUGUCPFOKZGF
DTGCVJKPI CPF YJGP OCPKRWNCVKPI VJG OCPFKDNG C FGPVKVKQP YGTG QDUGTXGF 6JG WRRGT NGHV CPF TKIJV
FKUETGRCPE[DGVYGGPEGPVTKETGNCVKQPCPFOCZKOCN ECPKPGUJCFPQURCEGVQGTWRVCPFYGTGFKCIPQUGFCU
KPVGTEWURCVKQPYCUQDUGTXGFYKVJCUCIKVVCNFGƀGEVKQP DGKPIKPCUVCIGQH0QNNC6JGWRRGTCPFNQYGTVJKTF
QHOOCPFCXGTVKECNQPGQHOO9KVJOCPFKDWNCT OQNCTUYGTGKPUVCIGQH0QNNC
OCPKRWNCVKQPVJGQEENWUKQPYCUGFIGVQGFIGYKVJ %GRJCNQOGVTKE CPCN[UKU TGXGCNGF CP KPETGCUGF
RQUVGTKQTKPHTCQEENWUKQPCPFOQNCTENCUU++POCZKOCN ETCPKCNDCUGCPINGYJKEJKPFKECVGURQUVGTKQTITQYVJ
KPVGTEWURCVKQPVJGQXGTLGVYCUOOYKVJCPFC QHVJGETCPKCNDCUG6JGOCZKNNCJCFCOKNFUCIKVVCN
QXGTDKVGYKVJCP#PINGOQNCTENCUU+++
(KIWTG TGVTQRQUKVKQP
50#QCPF/E0COCTCŏURGTRGPFKEWNCT

YYYOGFKITCRJKEQTIOZ

(KIWTG

(CEGCTEJGUCPFQEENWUKQPRTGVTGCVOGPV
RJQVQITCRJU
Revista Mexicana de Ortodoncia 2015;3 (4): e248-e254
e251

VQ RQKPV # YCU CV  OO 6JG OCPFKDNG JCF C 6TGCVOGPVCNVGTPCVKXGU
PQTOCNTCOWUCPFCDQF[NGPIVJCPFKVYCURTQRGTN[
RQUKVKQPGFKPVJGUCIKVVCNRNCPG
50$Q8GTVKECNN[VJG 6TGCVOGPV QH FGPVQCNXGQNCT CPQOCNKGU QH VJG
IQPKCNCPINGYCUFGETGCUGFVJWUKPFKECVKPICHQTYCTF RUGWFQENCUU+++OCNQEENWUKQPXCTKGUCEEQTFKPIVQVJG
CPF WRYCTF OCPFKDWNCT TQVCVKQP 4GICTFKPI VJG QTVJQFQPVKUVŏURTGHGTGPEGUCPFENKPKECNGZRGTKGPEGU
KPVGTOCZKNNCT[TGNCVKQPUJKRVJG%QPXGZKV[#PINGYCU DWVRTKOCTKN[KVUGGMUVQKORTQXGVJGKPEKUQTKPENKPCVKQPU
OOYJKEJTGUWNVGFKPCEQPECXGRTQſNGCPFUCIKVCNN[ VJCV YGTG CHHGEVGF D[ VJG KPVGTOCZKNNCT[ XGTVKECN
VJGTG KU C OCZKNNQOCPFKDWNCT FKHHGTGPEG QH  OO (VWHGRFXPHQWRHVHODERUDGRSRU0HGLJUDSKLF
TGNCVKQPUJKRYJKEJRQUGUVJGVJGTCRGWVKEEJCNNGPIG
CEEQTFKPIVQ9+65CRRTCKUCN6JGNQYGTKPEKUQTUYGTG VQQRGPVJGDKVGDGHQTGEQTTGEVKPIVJGQXGTLGV+PVJKU
CNOQUVYKVJKPPQTOCNXCNWGU
uCPFVJGWRRGTYGTG ECUGVJGKPKVKCNFKCIPQUKUCNNQYGFWUVQKPVGTEGRVVJG
UGXGTGN[TGVTQENKPGF
Q#PVGTKQT(CEKCN*GKIJVYCU OCNQEENWUKQPVQRTQXKFGCPQTOCNUCIKVVCNFGXGNQROGPV
TGFWEGFCVVJGGZRGPUGQHVJGNQYGTVJKTFEQPUKFGTKPI QHVJGOCZKNNCKP[GCTQNFRCVKGPVVJWUCXQKFKPIC
JQYGXGTVJGHCEVVJCVVJGTCFKQITCRJKECPCN[UKUYCU RQUUKDNGQTVJQIPCVJKEUWTIGT[CVVJGGPFQHJGTITQYVJ
ECTTKGFQWVKPOCZKOCNKPVGTEWURCVKQP6JGUQHVVKUUWG RGTKQF
CPCN[UKUUJQYUCPKPETGCUGFOGPVQNCDKCNHQNFCPFCP 6TGCVOGPVRNCPCPFRTQITGUU
QDVWUGPCUQNCDKCNCPING
Q
(KIWTG
6JGHKTUVUVCIGQHVTGCVOGPVEQPUKUVGFQHWUKPIC
&KCIPQUKU VYQD[HQWTOGEJCPKEUYKVJDQPFGFVWDGUQPVGGVJ
PWODGTCPFCPF/$6RTGUETKRVKQPDTCEMGVU
2UGWFQENCUU+++KPVGTOCZKNNCT[UCIKVVCNTGNCVKQPUJKR

/KPVJGWRRGTKPEKUQTU#EVKXGEQKNURTKPIUYGTG
YKVJXGTVKECNCPFUCIKVVCNOCPFKDWNCTFGƀGEVKQP/KNF
RNCEGFDKNCVGTCNN[HTQOHKTUVOQNCTVQNCVGTCNKPEKUQTU
OCZKNNCT[ TGVTWUKQP DTCEJKHCEKCN DKQV[RG EQPECXG
YKVJŒ#WUVTCNKCPCTEJYKTGUVQQRGPURCEGUHQT
RTQſNGNQYGTRTQEJGKNKCCPFTGVTQENKPGFWRRGTKPEKUQTU
VJGGTWRVKQPQHVGGVJCPFCPFCNUQVQCEJKGXG
6TGCVOGPVIQCNU VJGRTQVTCEVKQPCPFRTQENKPCVKQPQHVJGWRRGTKPEKUQTU
+PQTFGTHQTVJGOQXGOGPVVQDGGHHGEVKXGVJGQXGTDKVG
6QEQTTGEVVJGCPVGTKQTETQUUDKVGKPQTFGTVQCNNQY PGGFGFVQDGEQTTGEVGFVJGTGHQTGOOCET[NKEDNQEMU
VJGPQTOCNFGXGNQROGPVQHVJGOCZKNNCVQEQTTGEVVJG OCFGFWTKPIVJGCTVKEWNCVQTOQWPVKPIKPEGPVTKETGNCVKQP
WRRGT KPEKUQTTGVTQENKPCVKQP CPF TGVTWUKQP VQ OCMG YGTGEGOGPVGFVQVJGſTUVWRRGTOQNCTUQPGCEJUKFG
URCEG HQT WRRGT ECPKPG GTWRVKQP CPF VQ CEJKGXG C CNNQYKPIVJGDKVGVQCPFMGGRKPIVJGRCVKGPVKPVJKU
HWPEVKQPCNCPFUVCDNGQEENWUKQP RQUKVKQP
(KIWTG

(KIWTG

YYYOGFKITCRJKEQTIOZ %NKPKECNHWPEVKQPCNCPCN[UKUCPFCTVKEWNCVQT
OQWPVKPI

(KIWTG

5VCVKEOQFGNUKPEGPVTKEQEENWUKQP
 López BDF et al. Therapeutic management of a pseudo class III malocclusion
e252

#HVGTCEJKGXKPICRQUKVKXGQXGTLGVDTCEMGVUYGTG
RNCEGFKPVJGNQYGTCTEJUVCTVKPIVJGCNKIPOGPVCPF
NGXGNKPIRJCUGUYKVJŒŒŒªŒ
CPFŒªŒ0KVKPQNCTEJYKTGU#UVJGVGGVJ
GTWRVGF VJG[ YGTG ITCFWCNN[ KPEQTRQTCVGF KPVQ VJG
OGEJCPKEUCPFſPCNN[ŒªŒUVCKPNGUUUVGGN
CTEJYKTGUYGTGRNCEGFKPVJGWRRGTCPFNQYGTCTEJ
6JGTGYCUPQVTCEVKQPOGEJCPKEUHQTVJGECPKPGUVJG
URCEGYCUIGPGTCVGFYKVJQTVJQFQPVKEOGEJCPKEUQPN[
CPFVJGKTGTWRVKQPQEEWTTGFURQPVCPGQWUN[
# H V G T  Q T V J Q F Q P V K E  V T G C V O G P V  Y C U  H K P K U J G F 
EKTEWOHGTGPVKCN TGOQXCDNG TGVCKPGTU YGTG RNCEGF
YKVJCET[NKEVCRGHTQOVQCPF#FCOUJQQMUCVVJG
NGXGNQHVJGNQYGTſTUVOQNCTU#PCUUGUUOGPVQHVJG
QDVCKPGFTGUWNVUYCUOCFGCPFVJGRCVKGPVYCU
UCVKUſGFYKVJVJGQDVCKPGFTGUWNVU
(KIWTGUVQ
6JGRCVKGPVCVVGPFGFJGTHQNNQYWRXKUKVUGXGT[
OQPVJUFWTKPIVJGſTUVVYQ[GCTUCHVGTVTGCVOGPV0Q
UKIPKſECPVENKPKECNQTTCFKQITCRJKEEJCPIGUYGTGPQVGF
CPFUJGYKNNDGUEJGFWNGFHQTCPCPPWCNEQPVTQNFWTKPI
VJTGG[GCTU

&+5%755+10

6JKUECUGTGRQTVUJQYUCUCVKUH[KPIEQTTGEVKQPQH
CRUGWFQENCUU+++OCNQEENWUKQPKPCVJKTVGGP[GCT
QNF RCVKGPV KP YJQO GCTN[ FKCIPQUKU CPF VJG TKIJV
VJGTCRGWVKEFGEKUKQPUHQTDKVGQRGPKPIJGNRGFCEJKGXG
VJGVTGCVOGPVIQCNU6JGVYQD[HQWTCRRNKCPEGQHHGTU
VJGXGTUCVKNKV[QHJCXKPIOGEJCPKECNQRVKQPUVQEQTTGEV
VJGRUGWFQENCUU+++KPCRTGFKEVCDNGOCPPGTFWGVQ
(KIWTG+PKVKCNNCVGTCNJGCFſNOCPFRCPQTCOKETCFKQITCRJ VJGHCEVVJCVVJGOGEJCPKECNU[UVGOECPDGFGUKIPGF

YYYOGFKITCRJKEQTIOZ

(KIWTG

6TGCVOGPVRTQITGUU
Revista Mexicana de Ortodoncia 2015;3 (4): e248-e254
e253

VQRTQFWEGVJGGZCEVCOQWPVQHNCDKCNFGPVQCNXGQNCT EQTTGEVKQPETGCVGUCJGCNVJ[GPXKTQPOGPVHQTOCZKNNCT[
OQXGOGPVQHVJGWRRGTKPEKUQTU ITQYVJ
'CTN[VTGCVOGPVQHVJGRUGWFQENCUU+++OCNQEENWUKQP # P Q V J G T  K O R Q T V C P V  C F X C P V C I G  Q H  E J Q Q U K P I
FKFPQVQPN[GNKOKPCVGVJGFKUETGRCPE[DGVYGGPVJG KPVGTEGRVKXGQTVJQFQPVKEVTGCVOGPVKUVJCVKVKUPQP
OCPFKDWNCTRQUKVKQPKPEGPVTKETGNCVKQPCPFKPOCZKOWO KPXCUKXGCPFCXQKFUCRQUUKDNGQTVJQIPCVJKEUWTIGT[
KPVGTEWURCVKQP DWVCNUQKPETGCUGUOCZKNNCT[CTEJ KPVJGHWVWTGVJCVKPCFFKVKQPVQKVUTKUMUTGSWKTGUVJG
NGPIVJ YJKEJ RTQOQVGU C %NCUU + GTWRVKQP QH VJG RCVKGPVVQYCKVWPVKNITQYVJJCUDGGPEQORNGVGFYKVJ
ECPKPGUCPFRTGOQNCTU6JKUPGYQEENWUCNTGNCVKQPUJKRU CGUVJGVKEFGVGTKQTCVKQPCUCEQPUGSWGPEGCPFVJG
HCXQTUOCZKNNCT[ITQYVJCPFRTGXGPVUVJGOCPFKDWNCT RU[EJQGOQVKQPCNKUUWGUVJCVVJGKVGPVCKNU
VTCRVJCVIWKFGUVJGVGGVJVQYCTFUCVTWGUMGNGVCN%NCUU
+++OCNQEENWUKQP6JGTGHQTGFGPVCNEQTTGEVKQPJCUC %10%.75+10
UGEQPFCT[UMGNGVCNDGPGſVVJCVEQPVTKDWVGUVQQEENWUKQP &KHHGTGPV CRRNKCPEG FGUKIPU CPF VJGTCRGWVKE
UVCDKNKV[CPFKPVGTOCZKNNCT[TGNCVKQPUJKRU5VWFKGUUWEJ OCPCIGOGPVUJCXGDGGPOGPVKQPGFVJTQWIJVKOG
CUVJQUGQH#PFGTUQPCPF$GPFGWUUJQYVJCVKP HTQO QTVJQRGFKEU VQ KPVTCQTCN FGXKEGU HQT GCTN[
RCVKGPVUYKVJCPVGTKQTETQUUDKVGVTGCVGFYKVJVYQD[HQWT EQTTGEVKQP QH RUGWFQENCUU +++ OCNQEENWUKQPU 
OGEJCPKEURQKPV#OC[ITQYUCIKVCNN[WRVQOO 0QOCVVGTYJCVVGEJPKSWGKURGTHQTOGFKORQTVCPV
FWTKPI ITQYVJ TGOPCPV YJKEJ KPFKECVGU VJCV GCTN[ VTGCVOGPVRQKPVUCTGVQGUVCDNKUJCEQTTGEVFKCIPQUKU

(KIWTG

( C E G   C T E J G U  C P F  Q E E N W U K Q P  H K P C N
YYYOGFKITCRJKEQTIOZ RJQVQITCRJU

(KIWTG

(KPCNUVCVKEQEENWUKQPOQFGNU
 López BDF et al. Therapeutic management of a pseudo class III malocclusion
e254

/GCUWTGOGPV 0QTO 2TGVTGCVOGPV 2QUVVTGCVOGPV

50# Q Q Q

50$  Q Q
#0$ 
Q Q
9+665 OO
OO OO
7RRGTKPEKUQTVQ Q Q Q
RCNCVCNRNCPG
+/2# Q Q Q

/QFKſGFOGCUWTGOGPVUHTQO4KQNQ/Q[GTU/E0COCTCFWGVQVJG
RCVKGPVŏUCIG

(KIWTG(KPCNNCVGTCNJGCFſNOUWRGTKORQUKVKQPCPFOGCUWTGOGPVEQORCTKUQP

KPQTFGTVQFKHHGTGPVKCVGKVHTQOCTGCNUMGNGVCNENCUU +DTCJKO 5 *CHG\ #/ 'N $KCN[ ## $QYOCP 5, 'HHGEVU QH
+++FKCIPQUKUUJQWNFDGCUFGVCKNGFCURQUUKDNG VJGSWKEMHKZCRRNKCPEGKPVJGEQTTGEVKQPQHRUGWFQ%NCUU+++
OCNQEENWUKQP,%1

CPFGCTN[KPVGTXGPVKQPJCUHCXQTCDNGEQUVDGPGHKV #PFGTUQP+4CDKG#$9QPI49'CTN[VTGCVOGPVQHRUGWFQ
TCVKQU6JGUVCDKNKV[QHVJGEQTTGEVKQPOC[FGRGPFQPC ENCUU+++OCNQEENWUKQPC[GCTHQNNQYWRUVWF[,%NKP1TVJQF
HCXQTCDNGRQUVVTGCVOGPVITQYVJ 

$QYOCP5,#SWKEMſZHQTRUGWFQ%NCUU+++EQTTGEVKQP,%NKP
#%-019.'&)'/'065 1TVJQF
/E0COCTC,#,T#PQTVJQRGFKECRRTQCEJVQVJGVTGCVOGPVQH
%NCUU+++OCNQEENWUKQPKP[QWPIRCVKGPVU,%NKP1TVJQF
6Q&T#FTKCPC*GTTGTCTCFKQNQIKUVYJQHTQOJGT 
KOCIGPQNQI[EGPVTGJGNRGFYKVJVJGEGRJCNQOGVTKE /Q[GTU 4' ;GCTDQQM OGFKECN RWDNKUJGTU VJ GF +PE
VTCEKPIUCPFUWRGTKORQUKVKQPU %JKECIQRR
)TCDGT 6/4 2GVTQXKE #) &GPVQHCEKCN QTVJQRGFKEU YKVJ
HWPEVKQPCNCRRNKCPEGPFGF/QUD[5V.QWKU
4'('4'0%'5 ,CEQDUQP#6JGő9KVUŒCRRTCKUCNQHLCYFKUJCTOQP[#O,
1TVJQF

 /CLQT29)NQXGT-6TGCVOGPVQHCPVGTKQTETQUUDKVGUKPVJGGCTN[ 4CDKG #$ )W ; &KCIPQUVKE ETKVGTKC HQT RUGWFQ%NCUU +++
OKZGFFGPVKVKQP,%CP&GPV#UUQE
 OCNQEENWUKQP#O,1TVJQF&GPVQHCEKCN1TVJQR

 2TQHHKV 94 (KGNFU *9 ,T 5CTXGT &/ %QPVGORQTCT[ *¼II76UG#$GPFGWU/4CDKG#$#HQNNQYWRUVWF[QHGCTN[
QTVJQFQPVKEUVJGF/QUD['NUGXKGT5V.QWKURR VTGCVOGPVQHRUGWFQ%NCUU+++OCNQEENWUKQP#PING1TVJQF
 
 4CDKG #$ )W ; &KCIPQUVKE ETKVGTKC HQT RUGWFQ%NCUU +++ 9JKVG.'CTN[QTVJQFQPVKEKPVGTXGPVKQP#O,1TVJQF
OCNQEENWUKQP#O,1TVJQF&GPVQHCEKCN1TVJQR
 
 .W\KC &5 %QPUKFGTCEKQPGU IGPGTCNGU GP GN FKCIPQUVKEQ $QYOCP5,1PGUVCIGXGTUWUVYQUVCIGVTGCVOGPV#TGVYQ
[ VTCVCOKGPVQ FG NCU OCNQENWUKQPGU FG ENCUG +++ 4GXKUVC TGCNN[PGEGUUCT[!#O,1TVJQF&GPVQHCEKCN1TVJQR
NCVKPQCOGTKECPCFGQTVQFQPEKC[QFQPVQRGFKCVTKC,WNKQFG 
 %CPWV$,1TVQFQPEKC%NÈPKEC5CNXCV%CRÈVWNQ ,QJPUQP'55JQTVGPKPIQTVJQFQPVKEVTGCVOGPVVKOG1TVJQF
 6YGGF%*%NKPKECNQTVJQFQPVKEU'F/QUD[R 5GNGEV
 /Q[GTU 4' *CPFDQQM QH QTVJQFQPVKEU VJ GF ;GCT $QQM $GPFGWU/*¼II74CDKG$)TQYVJCPFVTGCVOGPVEJCPIGU
/GFKECN2WDNKUJGTU%JKECIQRR KPRCVKGPVUVTGCVGFYKVJCJGCFIGCTCEVKXCVQTCRRNKCPEG#O,
 )KCPEQVVK#/CUGNNK#/CORKGTK)5RCPÍ'2UGWFQ%NCUU+++ 1TVJQF&GPVTQHCEKCN1TVJQR
OCNQEENWUKQPVTGCVOGPVYKVJ$CNVGTUŏ$KQPCVQT,1TVJQF 9GNNU#25CTXGT&/2TQHſV94.QPIVGTOGHſECE[QHTGXGTUG


YYYOGFKITCRJKEQTIOZ
 )W;4CDKG#$&GPVCNEJCPIGUCPFURCEGICKPGFCUCTGUWNVQH
GCTN[VTGCVOGPVQHRUGWFQ%NCUU+++OCNQEENWUKQP#WUV1TVJQF,
RWNNJGCFIGCTVJGTCR[#PING1TVJQF

-KO,*8KCPC/#)TCDGT6/1OGT\C(($G)QNG'#6JG
GHHGEVKXGPGUUQHRTQVTCEVKQPHCEGOCUMVJGTCR[COGVCCPCN[UKU

 #O,1TVJQF&GPVTQHCEKCN1TVJQR
-CPPQ < -KO ; 5QOC - 'CTN[ EQTTGEVKQP QH C FGXGNQRKPI %CTCPQ#$QYOCP5,8CNNG/#ſZGFTGXGTUGNCDKCNDQYHQT
UMGNGVCN%NCUU+++OCNQEENWUKQP#PING1TVJQF
 OQFGTCVG%NCUU+++KPVGTEGRVKXGVTGCVOGPV,%NKP1TVJQF
 
$KTIKV6JKNCPFGT GF'F(QTNCIUJWUGV)QVJKC5VQEMJQNO
+PVTQFWEVKQPVQQTVJQFQPVKEUGFKVKQP5GFKVQT
4G[GU # 5GTTGV . 2GIWGTQ / 6CPCMC 1 &KCIPQUKU CPF
VTGCVOGPVQHRUGWFQ%NCUU+++OCNQEENWUKQP%CUG4GR&GPV
 /CKNKPICFFTGUU
'URKPCT''6TCVCOKGPVQVGORTCPQFGNCU%NCUGU+++4GX'UR &KGIQ(GTPCPFQ.ÎRG\$WKVTCIQ
1TV 'OCKNFTFKGIQNQRG\"IOCKNEQO