Erupcion Dental

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hich \af5 \loch \f5 \cf1 la erupci\uc1 \u243 ?n dentaria es un proceso variable
influenciado}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 por m\uc1 \u250
?ltiples causas, se postulan varias teor\uc1 \u237 ?as para explicar sus mecanismos
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{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 esclarecer, los
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percentiles. }{\fs21 \kerning0 \rtlch \ltrch \dbch \af4 \hich \af4 \loch \f4 \cf1
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\cf1 Aclarando conceptos: Erupci\uc1 \u243 ?n dentaria. Es la migraci\uc1 \u243 ?n
o movimiento de un \uc1 \u243 ?rgano}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 dentario en el per\uc1 \u237 ?odo de formaci\uc1 \u243 ?n
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\cf1 general que act\uc1 \u250 ?an sobre ella. Su estudio est\uc1 \u225 ? lleno de
eventos, dentro de ellos la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 erupci\uc1 \u243 ?n dentaria, es importante conocer como es su desarrollo para
detectar la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 anormalidad por
todas estas razones se debe controlar la erupci\uc1 \u243 ?n. Una alteraci\uc1 \
u243 ?n del}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 orden puede
alertar de la presencia de un factor local que impidi\uc1 \u243 ? la emergencia
del}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 diente que debi\uc1 \
u243 ? hacerlo antes, con las consiguientes alteraciones que esto puede}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 producir en el establecimiento de la
oclusi\uc1 \u243 ?n dental. Un marcado retraso o adelanto}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 de la cronolog\uc1 \u237 ?a puede apuntar a la
presencia de alguna enfermedad sist\uc1 \u233 ?mica o}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 gen\uc1 \u233 ?tica.}{\fs14 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1] }{\fs21 \kerning0 \rtlch \ltrch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Quistes de origen dentario no son
diagnosticados a tiempo y evolucionan,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 alcanzando un tama\uc1 \u241 ?o considerable, con la
consiguiente destrucci\uc1 \u243 ?n de tejidos}{\fs24 \kerning2 \rtlch \ltrch \dbch
hich \af5 \loch \f5 \cf1 vecinos, porque el estomat\uc1 \u243 ?logo por
desconocimiento, no indica una radiograf\uc1 \u237 ?a ante}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 la ausencia de un diente que por la edad
del infante ya debiera estar presente. }{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 Cuando nos enfrentamos a la necesidad de hacer controles de brote, para
promover}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 el mejor desarrollo de
la dentici\uc1 \u243 ?n, este conocimiento es indispensable. Existen}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 entonces muchas situaciones cl\uc1 \u237
?nicas donde resulta importante el control de la}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 erupci\uc1 \u243 ?n dentaria; 1- Alteraciones del orden o
simetr\uc1 \u237 ?a de la erupci\uc1 \u243 ?n. 2- Alteraciones}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de n\uc1 \u250 ?mero forma y posici\
uc1 \u243 ?n de los dientes. 3- Dientes ausentes (por oligodoncia o}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 retenci\uc1 \u243 ?n). 4- Malposici\
uc1 \u243 ?n de g\uc1 \u233 ?rmenes dentarios o dientes impactados. 5- Marcado}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 retardo o adelanto de la cronolog\uc1 \
u237 ?a eruptiva. 6-Ante la necesidad de realizar}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 extracciones seriadas.}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 Al examinar un paciente infanto-juvenil
hay que contar los dientes, determinar cu\uc1 \u225 ?les}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 est\uc1 \u225 ?n presentes, cu\uc1 \u225 ?les
faltan, observar la forma de cada uno, diferenciar}{\fs24 \kerning2 \rtlch \ltrch \
af5 \loch \f5 \cf1 permanentes de temporales, evaluar la edad dentaria en relaci\
uc1 \u243 ?n con la cronol\uc1 \u243 ?gica y}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af2 \hich \af0 \loch \f0 \par }\pard \plain \ql \li0 \ri0 \lisb0 \lisa0 \
af5 \loch \f5 \cf1 si fuese preciso con la \uc1 \u243 ?sea, o cualquier otra edad
de desarrollo, ante las dudas, la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 necesidad de diagn\uc1 \u243 ?stico o de comprobar el estado de calcificaci\
uc1 \u243 ?n de ra\uc1 \u237 ?ces o}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \par }\pard \plain \ql \li0 \ri0 \lisb0 \lisa0 \nosnaplinegrid \
\cf1 fol\uc1 \u237 ?culos dentarios hay que auxiliarse de radiograf\uc1 \u237 ?as.}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Factores que
influencian el desarrollo de los dientes y la erupci\uc1 \u243 ?n. Una revisi\uc1 \
u243 ?n de la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
literatura pone de manifiesto que numerosos factores influencian el desarrollo de
los}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 dientes y la erupci\uc1
\u243 ?n dentaria, dentro de los que podemos citar el sexo, la raza,}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 herencia o factores gen\uc1 \u233 ?
ticos, factores de desarrollo intrauterino y postnatal, nivel}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 socioecon\uc1 \u243 ?mico, estado
nutricional, la edad, el desarrollo esquel\uc1 \u233 ?tico, elementos}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 propios del ambiente. En resumen la
erupci\uc1 \u243 ?n dentaria como proceso fisiol\uc1 \u243 ?gico}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 puede ser influenciada por m\uc1 \u250 ?
ltiples cusas cong\uc1 \u233 ?nitas y ambientales, por eso las}{\fs24 \kerning2 \
lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \
ltrch \dbch \af2 \hich \af0 \loch \f0 \sect }\sectd \sbkpage \pgwsxn11905 \
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{\sv 1}}{\sp {\sn f3DOK}{\sv 0}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv
0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 0}}{\sp {\sn wzName}{\sv
Picture 5}}{\sp {\sn fBehindDocument}{\sv 1}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\
shprslt {\pict }}}}{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \
cf1 perturbaciones en este campo son numerosas y variadas, con profusas
repercusiones}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de
importancia.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1
[1, 7-15]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Factores y
procesos del desarrollo que se relacionan con la erupci\uc1 \u243 ?n de los
dientes:-}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Sist\uc1 \
u233 ?micos. (Gen\uc1 \u233 ?ticos y endocrinos), -Locales,-Efectos de la
filogenia.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Dentro de los
factores sist\uc1 \u233 ?micos tenemos las influencias gen\uc1 \u233 ?ticas. (Se
produce una}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 interacci\uc1 \
u243 ?n compleja de genes reguladores que conduce a una cascada de se\uc1 \u241 ?
ales}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 moleculares que
determina la erupci\uc1 \u243 ?n, pero se desconoce la naturaleza de las}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 relaciones entre el genoma y la variaci\
uc1 \u243 ?n fenot\uc1 \u237 ?pica) (Hughes y colaboradores 2007),}{\fs24 \kerning2
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 y las influencias endocrinas (hormona
hipofisaria del crecimiento y de otras hormonas}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 como inductoras o no de cambios en la cronolog\uc1 \u237 ?
a de la erupci\uc1 \u243 ?n) (Baume y}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 colaboradores 1954 y Garm y colaboradores 1957).En cuanto
a la filogenia se ha}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 demostrado la
involuci\uc1 \u243 ?n de la dentici\uc1 \u243 ?n humana, la disminuci\uc1 \u243 ?n
de los maxilares,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
acortamiento de la b\uc1 \u243 ?veda palatina, fusi\uc1 \u243 ?n precoz de la
premaxila, reducci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 anteroposterior de la mand\uc1 \u237 ?bula, verticalizaci\uc1 \u243 ?n de la
s\uc1 \u237 ?nfisis, formaci\uc1 \u243 ?n del ment\uc1 \u243 ?n,}{\fs24 \kerning2 \
kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \af0 {\fs21
\kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 la ausencia de los
terceros molares, incisivos laterales superiores, y menos}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 frecuentemente segundos premolares, todo ello
se interpreta como indicio de esta}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 tendencia.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich
\af5 \loch \f5 \cf1 [16] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 Con referencia a la secuencia de erupci\uc1 \u243 ?n en los primates
primitivos esta}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 es: 1er molar,
2do molar, 3er molar, incisivo central, incisivo lateral, premolares y}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 caninos, sin embargo gradualmente a
medida que se sube en la escala de los}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 antropoides aunque el 1er molar conserva su orden original
y primitivo se observa una}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 tendencia a que la erupci\uc1 \u243 ?n del 2do y el 3er molar valla siendo
gradualmente}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 precedida por
la erupci\uc1 \u243 ?n de los incisivos, y por \uc1 \u250 ?ltimo por la erupci\
uc1 \u243 ?n de premolares}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 y caninos, lo que da lugar a la secuencia de erupci\uc1 \u243 ?n que se
observa en el Homo}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
sapiens.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [16]}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 De modo que el
resultado de todas estas influencias trae como consecuencia una gran}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 variabilidad entre individuos y
poblaciones, a pesar de lo cual se hace necesario el}{\fs24 \kerning2 \rtlch \ltrch
af5 \loch \f5 \cf1 establecimiento de promedios como gu\uc1 \u237 ?as para la pr\
uc1 \u225 ?ctica cl\uc1 \u237 ?nica, queda claro que en}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 este rubro lo adecuado es que cada poblaci\
uc1 \u243 ?n con sus respectivas caracter\uc1 \u237 ?sticas}{\fs24 \kerning2 \rtlch
dbch \af2 \hich \af5 \loch \f5 \cf1 particulares se preocupe por estudiar y
establecer sus propios est\uc1 \u225 ?ndares para el}{\fs24 \kerning2 \rtlch \ltrch
af5 \loch \f5 \cf1 fen\uc1 \u243 ?meno y as\uc1 \u237 ? poder evaluar el proceso de
acuerdo a los datos que le son propios.De}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 acuerdo con Matute (2009) es importante medir los acontecimientos del
crecimiento y}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
desarrollo por valores de referencia propios para que no se produzca distorsi\uc1 \
u243 ?n en el}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 an\uc1 \u225 ?
lisis y resultados de los datos bio-m\uc1 \u233 ?tricos y psico-sociales y por
tanto de las}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 medidas a
adoptar y esto es aplicable tambi\uc1 \u233 ?n cuando se trata de evaluar el}{\fs24
kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning0
\rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 desenvolvimiento de las
denticiones.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1
[17] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Por esta
raz\uc1 \u243 ?n muchos pa\uc1 \u237 ?ses se han}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 preocupado por establecer sus est\uc1 \u225 ?ndares al
respecto.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Un examen de la
literatura indica que los estudios de orden y cronolog\uc1 \u237 ?a de erupci\uc1 \
u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 son tan
antiguos como la propia odontolog\uc1 \u237 ?a, en el extranjero podemos citar los}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 trabajos de Logan y
Kronfeld (USA 1933), Hurme (USA 1949), Ripa (USA 1972),}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Pankala y colaboradores (Finlandia 1999),
Liversidge (Reino Unido 1999), De la teja}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 y colaboradores (Mexico 2000), Romo (M\uc1 \u233 ?xico 2003), Taboada y
colaboradores}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 (M\
uc1 \u233 ?xico 2005), Plasencia y colaboradores (Espa\uc1 \u241 ?a 2005), Romero y
colaboradores}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 (M\
uc1 \u233 ?xico 2006), Mor\uc1 \u243 ?n y colaboradores (Venezuela 2006),}{\fs14 \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1] }{\fs21 \kerning0 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Vaillard (M\uc1 \u233 ?xico
2008),}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [18]}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Feij\uc1 \u243 ? (Espa\uc1 \u241 ?a
2011),}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [19] }{\
fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Bruna del Cojo
(Espa\uc1 \u241 ?a 2012),}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 [20,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 21]}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Paz Cortez (Espa\uc1 \
u241 ?a}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 2013),}{\fs14 \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [22] }{\fs21 \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Caleya (Espa\uc1 \
u241 ?a 2014),}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1
[23] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Burgue\
uc1 \u241 ?o (Espa\uc1 \u241 ?a 2011- 2014),}{\fs14 \kerning0 \rtlch \ltrch \dbch \
af2 \hich \af5 \loch \f5 \cf1 [24, 25]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 En Cuba el primer trabajo que encontramos}{\fs24 \kerning2
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 en la literatura es de Carb\uc1 \u243 ?
y}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \plain
\ql \li0 \ri0 \lisb0 \lisa0 \nosnaplinegrid \widctlpar \aspalpha \aspnum \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 colaboradores (Santa
Clara 1982),}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1
[1] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 San Miguel
en 1984 estudi\uc1 \u243 ? la edad dentaria}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 medida a trav\uc1 \u233 ?s del m\uc1 \u233 ?todo de
Dermijian y la compar\uc1 \u243 ? con la edad \uc1 \u243 ?sea medida a}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 trav\uc1 \u233 ?s del m\uc1 \u233 ?todo
de Tanner Whithouse encontrando entre ella una correlaci\uc1 \u243 ?n}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 altamente significativa,}{\fs14 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 se han hallado referencias a un
estudio nacional realizado}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 por Aguila en 1989,}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 [26] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \
f5 \cf1 otros estudios son los de Podadera (Habana 2004), }{\fs14 \kerning0 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1] }{\fs21 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Toledo}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 y colaboradores (Habana 2009 y 2010).[27, 28], En 2012 San
Miguel reporta un}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
estudio de la erupci\uc1 \u243 ?n de la dentici\uc1 \u243 ?n permanente caracteriz\
uc1 \u225 ?ndola en relaci\uc1 \u243 ?n con}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af5 \loch \f5 \cf1 sexo, grupo \uc1 \u233 ?tnico, el peso y la talla,}{\fs14 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Morgado}{\fs14 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [29-31] }{\fs21 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 se aproxima al tema desde la}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 perspectiva de los factores de riesgo,
Concepci\uc1 \u243 ?n y colaboradores (2013)}{\fs14 \kerning0 \rtlch \ltrch \dbch \
af2 \hich \af5 \loch \f5 \cf1 [32] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich
\af5 \loch \f5 \cf1 estudian}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 el orden y cronolog\uc1 \u237 ?a de la dentici\uc1 \u243 ?n permanente en una
muestra de Pinar del R\uc1 \u237 ?o.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 Estos estudios han sido realizados casi siempre en muestras
peque\uc1 \u241 ?as, en lugares}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 puntuales, y no se han establecido a\uc1 \u250 ?n los est\uc1 \u225 ?ndares
nacionales para la erupci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 dentaria, se usan con frecuencia en nuestro medio los est\uc1 \
u225 ?ndares for\uc1 \u225 ?neos de Moyers}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af5 \loch \f5 \cf1 y Mayoral}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Es
notable que a pesar de los a\uc1 \u241 ?os de estudios la erupci\uc1 \u243 ?n
dentaria siga despertando}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 la curiosidad de los investigadores.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 Al aproximarnos cient\uc1 \u237 ?ficamente al proceso}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 eruptivo surge la pregunta \uc1 \u191 ?
qu\uc1 \u233 ? debemos estudiar?. El an\uc1 \u225 ?lisis del fen\uc1 \u243 ?meno
eruptivo}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 sugiere tener en cuenta
algunos puntos como: 1-Odontog\uc1 \u233 ?nesis. 2-Maduraci\uc1 \u243 ?n y}{\fs24 \
dbch \af2 \hich \af5 \loch \f5 \cf1 calcificaci\uc1 \u243 ?n dentaria. 3-Mecanismos
por los que se produce la erupci\uc1 \u243 ?n. 4-Erupci\uc1 \u243 ?n}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 cl\uc1 \u237 ?nica, o sea el momento en
que el diente aparece en la boca, hasta que alcanza el}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 plano oclusal determinando a partir de esto la
cronolog\uc1 \u237 ?a y el orden de emergencia y}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 luego de ello la erupci\uc1 \u243 ?n compensatoria que
existe a lo largo de toda la vida del diente.}{\fs24 \kerning2 \rtlch \ltrch \
phcol \pvmrg \posx1418 \posy3124
\wrapdefault \itap0 \fs21 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \af0
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 5-Relaciones de
la erupci\uc1 \u243 ?n dentaria con el crecimiento craneofacial y el desarrollo y}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 crecimiento som\uc1 \
u225 ?tico general. 6-Signos y s\uc1 \u237 ?ntomas asociados a cada una de las dos}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 denticiones. En cuanto
a los tres primeros puntos}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 se requiere una observaci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 permanente de eventos que en parte tienen lugar en sitios
no visibles en el interior de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 los huesos maxilares y mandibular, esto por el momento es materialmente
imposible,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 m\uc1 \u233 ?
todos apropiados para su estudio pudieran ser los cortes histol\uc1 \u243 ?gicos,
las}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 radiograf\uc1 \u237 ?as
y otras t\uc1 \u233 ?cnicas imagenol\uc1 \u243 ?gicas, es poco probable por no
decir}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 improbable que se
puedan obtener muestras de ni\uc1 \u241 ?os vivos para estudios}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 histol\uc1 \u243 ?gicos, as\uc1 \u237 ?
como no es factible someter a los infantes a radiaciones tan solo con}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 fines investigativos, obtener cortes y
radiograf\uc1 \u237 ?as de cad\uc1 \u225 ?veres infantiles pudiera ser}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 una posibilidad pero la probabilidad
real de reunir individuos de varias edades, sexo}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 diferente, etc es bastante reducida, adem\uc1 \u225 ?s de
los cuestionamientos \uc1 \u233 ?ticos que se}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 producir\uc1 \u237 ?an naturalmente de estas conductas.
Queda la opci\uc1 \u243 ?n de hacer estudios en}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 animales, pero resulta que investigaciones de este tipo no
son siempre extrapolables,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 especialmente en lo referente a la erupci\uc1 \u243 ?n dentaria ya que los
modelos de desarrollo}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
dentario y erupci\uc1 \u243 ?n de los roedores, perros u otro tipo de animales
difieren del}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 humano, lo m\
uc1 \u225 ?s cercano ser\uc1 \u237 ?an los simios, sin dejar de tener presente los}
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 condicionamientos \
uc1 \u233 ?ticos que ello implicar\uc1 \u237 ?a tambi\uc1 \u233 ?n. Sobre el quinto
y sexto aspectos}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
hablaremos m\uc1 \u225 ?s adelante.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich
\cf1 El cuarto aspecto se estudia a partir de la observaci\uc1 \u243 ?n cl\uc1 \
u237 ?nica pero no es un problema}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
hich \af0 \loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch
\af2 \hich \af5 \loch \f5 \cf1 sencillo como puede parecer a primera vista.
Presenta varias dificultades}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 importantes.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \
cf1 [33]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 La primera es que la
emergencia dentaria es un suceso que ocurre en un momento}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 del tiempo nunca observado por el investigador,
cuando observamos un diente que}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 ha emergido lo que sabemos es que lo ha hecho en alg\uc1 \u250 ?n momento
anterior a la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
observaci\uc1 \u243 ?n, no sabemos el momento exacto, la informaci\uc1 \u243 ?n que
obtenemos es que}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 este
es el l\uc1 \u237 ?mite superior de un per\uc1 \u237 ?odo de tiempo dentro del cual
se ha producido.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Esto
es as\uc1 \u237 ? tanto en estudios longitudinales, semi-longitudinales o
transversales. En}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 los
estudios longitudinales, el l\uc1 \u237 ?mite inferior de ese per\uc1 \u237 ?odo de
tiempo se establece por}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
loch \f0 \par }\pard \plain \ql \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \rtlch \ltrch \dbch \af2 \
\sect }\sectd \sbkpage \pgwsxn11905 \pghsxn16829 \marglsxn0 \margrsxn0 \margtsxn0 \
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 la observaci\
uc1 \u243 ?n anterior en la que el diente no estaba todav\uc1 \u237 ?a en la boca,
en los}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 transversales, como la
edad en la que a ning\uc1 \u250 ?n individuo de la muestra le hab\uc1 \u237 ?a}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 erupcionado.}{\fs14 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1, 33]}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 Cuando un diente es observado en la boca consideramos que
ha hecho emergencia,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 el suceso es
valorado como una variable dicot\uc1 \u243 ?mica, el diente no ha erupcionado, o}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 ha erupcionado, a pesar de que desde que
hace aparici\uc1 \u243 ?n en la enc\uc1 \u237 ?a hasta que}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 alcanza oclusi\uc1 \u243 ?n con los
dientes de la arcada antagonista pasa un considerable lapso}{\fs24 \kerning2 \rtlch
dbch \af2 \hich \af5 \loch \f5 \cf1 de tiempo. Esto provoca que alguno de los m\uc1
\u233 ?todos para averiguar cuando ocurri\uc1 \u243 ? la}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 emergencia llevan a cifras que reflejan
momentos diferentes de este lapso, de modo}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 que los resultados de distintas metodolog\uc1 \u237 ?as no
son realmente comparables sino que}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 representan variables diferentes.}{\fs14 \kerning0 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1, 33]}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Al comparar diferentes estad\uc1 \u237 ?sticos
utilizables en los estudios de la erupci\uc1
\u243 ?n, tenemos}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
fundamentalmente dos, obtenci\uc1 \u243 ?n de las medias y las funciones de
distribuci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 acumulativa, si razonamos que la media aritm\uc1 \u233 ?tica es un promedio
resultante de la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 suma
de todas las observaciones divididas por su n\uc1 \u250 ?mero, el aplicarla para el
estudio}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de la erupci\
uc1 \u243 ?n dentaria, fen\uc1 \u243 ?meno con una elevada variabilidad, puede en
alguna}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 medida ofrecer
resultados no del todo fiables, lo que obtenemos casi siempre es una}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 edad posterior, dado que la edad de cada
individuo no es la del momento de la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 emergencia sino la que ten\uc1 \u237 ?a cuando el diente
se observ\uc1 \u243 ? en la boca la primera vez.}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 De modo que el estad\uc1 \u237 ?stico que se obtiene
representa una variable diferente a la \uc1 \u8220 ?edad}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 de inicio de emergencia\uc1 \u8221 ? en cuanto
a las funciones de distribuci\uc1 \u243 ?n acumulativa}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 b\uc1 \u225 ?sicamente, se trata de que hay una
edad o cota inferior en la que a ning\uc1 \u250 ?n individuo}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 le ha emergido el diente, y una cota
superior en la que s\uc1 \u237 ? lo ha hecho en todos. Entre}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 esa edad del 0% y la del 100% a medida
que aumenta la edad aumentar\uc1 \u225 ? el porcentaje}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 de individuos que tienen el diente en la boca.
Si hacemos un gr\uc1 \u225 ?fico en el que}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af5 \loch \f5 \cf1 vayamos marcando acumulativamente los porcentajes de caso con
respuesta positiva,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 la
edad que corresponde al 50% ser\uc1 \u225 ? la edad mediana. Esencialmente lo que
se}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 obtiene es la
probabilidad estimada de que el suceso haya ocurrido a una determinada}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 edad.}{\fs14 \kerning0 \rtlch \ltrch \
dbch \af2 \hich \af5 \loch \f5 \cf1 [1, 33] }{\fs21 \kerning0 \rtlch \ltrch \dbch \
af2 \hich \af5 \loch \f5 \cf1 Por eso proponemos que esta variable en vez de dicot\
uc1 \u243 ?mica (s\uc1 \u237 ? presente-}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af5 \loch \f5 \cf1 no presente) se convierta en polit\uc1 \u243 ?mica usando la
estrategia de Pankala (Finlandia}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 1991) que define 5 estadios: Diente no presente, Rompiendo el margen gingival,
1/3}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de corona brotado, 2/3
de corona brotado, alcance del plano oclusal, esto permite un}{\fs24 \kerning2 \
ltrch \dbch
\af2 \hich \af5 \loch \f5 \cf1 afinamiento de los datos.}{\fs14 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1, 34]}{\fs24 \kerning2 \rtlch \ltrch \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f0 \sect }\sectd \sbkpage \pgwsxn11905 \pghsxn16829 \
marglsxn0 \margrsxn0 \margtsxn0 \margbsxn0 \guttersxn0 \headery720 \footery720 \
pgbrdropt0 \sectspecifyl \endnhere \pard \plain \ql \li0 \ri0 \lisb0 \lisa0 \
hich \af0 \loch \af0 {\shp {\*\shpinst \shpleft0 \shptop0 \shpright11905 \
shpbottom16829 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore \
shpwr3 \shpwrk0 \shpfblwtxt0 \shpz3 \shplid1029 {\sp {\sn shapeType}{\sv 75}}{\sp
{\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 1}}{\
sp {\sn WrapText}{\sv 0}}{\sp {\sn pib}{\sv {\pict \piccropl0 \piccropr0 \piccropt0
\piccropb0 \picscalex100 \picscaley100 \picw793 \pich1121 \picwgoal11905 \
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sv 1}}}{\shprslt {\pict }}}}{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 Con relaci\uc1 \u243 ?n a las caracter\uc1 \u237 ?stica de los
estudio, los longitudinales donde se observan}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 siempre los mismo individuos pudieran ser m\uc1 \u225 ?s
fiables pero adolecen de algunas}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 dificultades entra\uc1 \u241 ?an periodos largos de observaci\uc1 \u243 ?n, en
los cuales estas deben ser}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 hechas con frecuencia, debe mantenerse aunado un grupo de estudio a lo largo
de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 todo ese periodo, lo
que no siempre es posible y se producen perdidas muestrales,}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 por razones obvias el tama\uc1 \u241 ?o
de la muestra para este tipo de estudio no puede ser}{\fs24 \kerning2 \rtlch \ltrch
hich \af5 \loch \f5 \cf1 elevado, lo que en un fen\uc1 \u243 ?meno tan variable
como la erupci\uc1 \u243 ?n puede representar una}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 desventaja. En los estudios transversales la muestra suele
ser grande, deben ser}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
examinados un grupo numeroso de individuos a los que se hace una sola observaci\uc1
\u243
?n,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 en el caso de la
erupci\uc1 \u243 ?n dentaria, tales muestras grandes pueden ser representativas}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de todas las posibles variaciones del
fen\uc1 \u243 ?meno.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Erupci\uc1 \
u243 ?n dentaria, estado nutricional y crecimiento som\uc1 \u225 ?tico. Se reconoce
t\uc1 \u225 ?citamente}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 que
la erupci\uc1 \u243 ?n dentaria debe estar relacionada con los dem\uc1 \u225 ?s
eventos de crecimiento}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 y
desarrollo, as\uc1 \u237 ? como con el estado nutricional, sin embargo existe
controversia}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 acerca de la
significaci\uc1 \u243 ?n de estas relaciones, y las formas en que se manifiesta. }
{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1]}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 B\uc1 \u225 ?sicamente se definen tres
posiciones:}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1]}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 -La maduraci\uc1 \u243 ?n de la dentici\
uc1 \u243 ?n es independiente de los agentes externos como la}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 nutrici\uc1 \u243 ?n. (Nykanen, Noruega
1998, Liversige, Reino Unido, 1999)}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich
\cf1 - La calcificaci\uc1 \u243 ?n dentaria puede estar regida por los mismos
factores que controlan el}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 crecimiento \uc1 \u243 ?seo. (Ossa, Antioqu\uc1 \u237 ?a, Colombia 1996,
Gulaty, Coshy y Tandon, La India}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 1998)}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 - La maduraci\
uc1 \u243 ?n dental y esquel\uc1 \u233 ?tica) se afecta en diferentes grados por
factores}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 ambientales como el
estado nutricional, y la dental es menos sensible. (Espina,}{\fs24 \kerning2 \rtlch
dbch \af2 \hich \af5 \loch \f5 \cf1 Venezuela 2007) alega que y observ\uc1 \u243 ?
en ni\uc1 \u241 ?os obesos una edad \uc1 \u243 ?sea mayor y una}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 edad dental menor.}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Diversos estudios registran resultados
que apoyan el criterio de la interrelaci\uc1 \u243 ?n de}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 estas variables, realizados en el extranjero
podemos citar los de Chiabra (Per\uc1 \u250 ? 2001).}{\fs24 \kerning2 \rtlch \ltrch
af5 \loch \f5 \cf1 Heredia (M\uc1 \u233 ?xico 2005) reporta que la desnutrici\uc1 \
u243 ?n cr\uc1 \u243 ?nica causa retardo en la}{\fs24 \kerning2 \rtlch \ltrch \dbch
af5 \loch \f5 \cf1 exfoliaci\uc1 \u243 ?n y en la erupci\uc1 \u243 ?n dental. Mart\
uc1 \u237 ?nez (Argentina 2002) alega que la}{\fs24 \kerning2 \rtlch \ltrch \dbch \
phcol \pvmrg
\posx1418 \posy14670 \wrapdefault \itap0 \fs21 \kerning2 \rtlch \ltrch \dbch \
af2 \hich \af0 \loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 desnutrici\uc1 \u243 ?n se asocia a erupci\uc1 \u243 ?n retardada y a
alteraciones de los tejidos duros de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 los dientes,}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \
af5 \loch \f5 \cf1 [1] }{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 Rios y Soldevilla (2014) describe relaciones entre ellas}{\fs14 \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [35]}{\fs21 \kerning0 \
rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 . En Cuba}{\fs24 \kerning2 \rtlch
ltrch \dbch \af2 \hich \af0 \loch \f0 \sect }\sectd \sbkpage \pgwsxn11905 \
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af2 \hich \af5 \loch \f5 \cf1 Podadera (2004) Hall\uc1 \u243 ? retardo de la
erupci\uc1 \u243 ?n dentaria en ni\uc1 \u241 ?os desnutridos y}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 delgados, en el normopeso, sobrepeso y
obesidad encontr\uc1 \u243 ? que predominaban los}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 individuos que no ten\uc1 \u237 ?an retraso, reportando
asociaci\uc1 \u243 ?n estad\uc1 \u237 ?stica significativa entre}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 el brote dentario y el desarrollo f\
uc1 \u237 ?sico del ni\uc1 \u241 ?o. Qui\uc1 \u241 ?ones y colaboradores (2009)}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 refieren que mientras m\uc1 \u225 ?s
temprana y mantenida es la malnutrici\uc1 \u243 ?n, mayores ser\uc1 \u225 ?n}{\fs24
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 las desviaciones de los patrones morfol\
uc1 \u243 ?gicos y funcionales de la oclusi\uc1 \u243 ?n. Dentro de}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 los estudios cubanos los realizados en
Villa Clara por San Miguel y Blazquez: (Santa}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 Clara, 1996) encontraron relaci\uc1 \u243 ?n altamente
significativa entre la maduraci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 esquel\uc1 \u233 ?tica y dentaria, siendo las dos un
indicador fiable de la maduraci\uc1 \u243 ?n biol\uc1 \u243 ?gica}{\fs24 \
kerning2 \rtlch \ltrch
hich \af5 \loch \f5 \cf1 del individuo, Machado Mart\uc1 \u237 ?nez (Santa Clara,
2003) encontr\uc1 \u243 ? diferencias}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 significativas en las dimensiones craneofaciales y la
erupci\uc1 \u243 ?n dentaria en ni\uc1 \u241 ?os}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 malnutridos fetales, as\uc1 \u237 ? tambi\uc1 \u233 ?n
Ruiz[36] reporta alteraciones dentales en ni\uc1 \u241 ?os}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 prematuros,}{\fs14 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1] }{\fs21 \kerning0 \rtlch \ltrch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Sada reporta diferencias del tama\uc1 \u241 ?o
dental en ni\uc1 \u241 ?os prematuros }{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 [37]}{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \
af5 \loch \f5 \cf1 . En}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 2011 Placido estudi\uc1 \u243 ? la asociaci\uc1 \u243 ?n del estado
nutricional, lactancia materna con la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 erupci\uc1 \u243 ?n dental,}{\fs14 \kerning0 \rtlch \ltrch
\dbch \af2 \hich \af5 \loch \f5 \cf1 [38] }{\fs21 \kerning0 \rtlch \ltrch \dbch \
af2 \hich \af5 \loch \f5 \cf1 San Miguel (Santa Clara, 2012) hall\uc1 \u243 ? brote
precoz en ni\uc1 \u241 ?os con}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \par }\pard \plain \ql \li0 \ri0 \lisb0 \lisa0 \nosnaplinegrid \widctlpar
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sobrepeso y en ni\uc1 \u241 ?os con talla insuficiente (colocados por debajo del
percentil 3 de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 talla
para la edad), y tard\uc1 \u237 ?o en ni\uc1 \u241 ?os obesos. En individuos de
talla alta casi no se}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
encontr\uc1 \u243 ? brote tard\uc1 \u237 ?o. Encontr\uc1 \u243 ? una relaci\uc1 \
u243 ?n altamente significativa de la talla y el peso}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 para la edad con la erupci\uc1 \u243 ?n de los
dientes permanentes. }{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \
f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 A pesar de las
mencionadas evidencias, habitualmente el desenvolvimiento de las}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 denticiones no es usualmente tenido en
cuenta como un par\uc1 \u225 ?metro para evaluar en el}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 crecimiento de los individuos, aunque
contradictoriamente al desarrollo de la dentici\uc1 \u243 ?n}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 se le ha dado utilidad para estimar la
edad de individuos infanto-juveniles con fines}{\fs24 \kerning2 \rtlch \ltrch \dbch
af5 \loch \f5 \cf1 forenses.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
loch \f5 \cf1 [19, 39-43]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 Erupci\uc1 \u243 ?n dentaria y grupo \uc1 \u233 ?tnico: La mayor parte de los
investigadores revelan}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
diferencias para los sucesos de la erupci\uc1 \u243 ?n dentaria relacionados con la
pertenencia}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 a diferentes
grupos \uc1 \u233 ?tnicos.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \
Taboada (M\uc1 \u233 ?xico 2005) Tess Brown (Australia1988) dicen que probablemente
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 factores gen\uc1 \
u233 ?ticos predominan
en la determinaci\uc1 \u243 ?n de las diferencias \uc1 \u233 ?tnicas, y}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 pudieran afectar tambi\uc1 \u233 ?n la
erupci\uc1 \u243 ?n dentaria, a pesar de las condiciones locales. De}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Melo (Brasil 1975), Debrot (Curazao
1988) afirma que los sujetos negros son m\uc1 \u225 ?s}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 precoces en la erupci\uc1 \u243 ?n. Lavelle
(1976) obtiene que la erupci\uc1 \u243 ?n de los ni\uc1 \u241 ?os africanos}{\
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pict }}}}{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 la
tendencia mayor fue a que los caninos brotaran despu\uc1 \u233 ?s que los bic\uc1 \
u250 ?spide tanto en}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 el maxilar como
en la mand\uc1 \u237 ?bula, lo que representa una desviaci\uc1 \u243 ?n del orden
de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
ideal para la mand\uc1 \u237 ?bula.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich
\af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 Signos, s\uc1 \u237 ?ntomas y patolog\uc1 \u237 ?as atribuidas a la erupci\uc1
\u243 ?n dentaria: Este aspecto es}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 pol\uc1 \u233 ?mico aun en la actualidad,}{\fs14 \kerning0
\rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [44] }{\fs21 \kerning0 \rtlch \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 como dato curioso diremos que Fogel
reporta que,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 aun tan
cercanamente como en el siglo XIX se recog\uc1 \u237 ?a en certificados de defunci\
uc1 \u243 ?n a}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
erupci\uc1 \u243 ?n dentariacomo causa de muerte.}{\fs14 \kerning0 \rtlch \ltrch \
dbch \af2 \hich \af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 Los s\uc1 \u237 ?ntomas que popularmente m\uc1 \u225 ?s se
asocian a la erupci\uc1 \u243 ?n de los dientes}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 temporales son: nerviosismo e irritabilidad, insomnio,
infecciones pericoronarias,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 fiebre, tumefacci\uc1 \u243 ?n inflamatoria, comez\uc1 \u243 ?n en las enc\uc1
\u237 ?as, mordisqueo de los dedos, el}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 biber\uc1 \u243 ?n o el chupete o cualquier otro elemento,
v\uc1 \u243 ?mitos, estados catarrales,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 frotamiento de los o\uc1 \u237 ?dos, brote facial,
disminuci\uc1 \u243 ?n del apetito para alimentos s\uc1 \u243 ?lidos,}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 ulceras en la lengua del ni\uc1 \u241 ?o
y el pez\uc1 \u243 ?n de la madre. }{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich
\af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 Para De la Teja (2000) se debe tener en cuenta que las patolog\uc1 \u237 ?as
asociadas a la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
erupci\uc1 \u243 ?n de la dentici\uc1 \u243 ?n temporal se relacionan con el
momento en que el ni\uc1 \u241 ?o explora}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 el medio ambiente a trav\uc1 \u233 ?s de su cavidad oral, llev\uc1 \u225 ?
ndose objetos a la boca, lo que}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 causa infecciones, el aumento de la salivaci\uc1 \u243 ?n se debe a que entre
los 6 y 7 meses}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de edad maduran
las gl\uc1 \u225 ?ndulas salivales y el ni\uc1 \u241 ?o inicialmente aun no la sabe
deglutir.}{\fs24 \kerning2
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 En cuanto a la irritabilidad y el llanto
considera que no hay estudios formales que}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 permitan arribar a conclusiones certeras.}{\fs14 \kerning0
\rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Para la dentici\uc1 \u243 ?n permanentes la
patolog\uc1 \u237 ?as m\uc1 \u225 ?s asociadas son: dientes}{\fs24 \kerning2 \rtlch
dbch \af2 \hich \af5 \loch \f5 \cf1 supernumerarios, dientes retenidos,}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 dientes temporales y erupci\uc1 \u243 ?n
ect\uc1 \u243 ?pica.}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5
\cf1 [1]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Teor\uc1 \u237 ?as que
tratan de explicar la erupci\uc1 \u243 ?n dentaria: Para que se produzca la erupci\
uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 es
imprescindible la coexistencia de cuatro procesos:}{\fs14 \kerning0 \rtlch \ltrch \
dbch \af2 \hich \af5 \loch \f5 \cf1 [1, 20, 25]}{\fs24 \kerning2 \rtlch \ltrch \
af5 \loch \f5 \cf1 1- Mecanismo que provea la fuerza capaz de producir la salida
del diente.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 2- Resistencia
los tejidos que rodean al diente, capaz de modificar la velocidad}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de erupci\uc1 \u243 ?n.}{\fs24 \kerning2
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 dientes incluidos, quistes de erupci\uc1
\u243 ?n,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 hematomas de
erupci\uc1 \u243 ?n, infecciones (pericoronaritis y abscesos), Persistencia de}{\
\li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 3- Sustentaci\uc1 \u243 ?n que permita
mantener al diente en su nueva posici\uc1 \u243 ?n al tiempo}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 que hace erupci\uc1 \u243 ?n.}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 4- Adaptaci\uc1 \u243 ?n del diente a
las nuevas y cambiantes situaciones.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 Muchas teor\uc1 \u237 ?as se han enunciado y luego
resultaron rechazadas a la luz de nuevos}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 conocimientos,[1] Actualmente las que se encuentran en
boga son:}{\fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1,
20, 25]}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 1- Teor\uc1 \
u237 ?a de los campos electromagn\uc1 \u233 ?ticos (piezoelectricidad).}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 2- Regulaci\uc1 \u243 ?n local del
metabolismo \uc1 \u243 ?seo alveolar.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 3- Quimiotropismo negativo.}{\fs24 \kerning2 \rtlch \ltrch
ltrch \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning0 \rtlch \ltrch \dbch
\af2 \hich \af5 \loch \f5 \cf1 Recambio dentario: Para que los dientes permanentes
puedan reemplazar a los}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 temporarios, estos deben reabsorber sus ra\uc1 \u237 ?ces hasta exfoliarse,
debe ocurrir la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 rizoclasia.}{\
fs14 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [23]}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Actualmente nuestra capacidad para
influir selectiva y voluntariamente en el proceso}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 de la erupci\uc1 \u243 ?n dentaria es limitada e incluye
la estimulaci\uc1 \u243 ?n local de la reabsorci\uc1 \u243 ?n}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 mediante la extracci\uc1 \u243 ?n de un
diente primario o la remoci\uc1 \u243 ?n quir\uc1 \u250 ?rgica del hueso y la}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 asistencia en la penetraci\uc1 \u243 ?n
en la mucosa mediante la incisi\uc1 \u243 ?n gingival. Los an\uc1 \u225 ?lisis}{\
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 m\uc1 \u225 ?s amplios de los mediadores
moleculares de la erupci\uc1 \u243 ?n aumentar\uc1 \u225 ?n seguramente}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 las opciones en el futuro.}{\fs14 \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 [1]}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Si asumimos que la erupci\uc1 \u243 ?n
dentaria es parte del evento del crecimiento y desarrollo,}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 influenciado}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 por}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 m\uc1 \u250 ?ltiples}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 factores}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 gen\uc1 \u233 ?ticos,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 hormonales,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
ambientales}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 y}{\fs24 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 socioecon\uc1 \u243 ?micos, estos dos \
uc1 \u250 ?ltimos variables en el tiempo y diferentes para}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 momentos, escenarios geogr\uc1 \u225 ?
ficos, culturales y sociales diferentes, si consideramos}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 que existen indicios de aceleraci\uc1 \u243 ?n
secular en los incrementos de peso y estatura, as\uc1 \u237 ?}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 como en la cronolog\uc1 \u237 ?a dental,
que se suponen asociados al incremento de calidad en}{\fs24 \kerning2 \rtlch \ltrch
af5 \loch \f5 \cf1 las condiciones de vida, si entendemos que un fen\uc1 \u243 ?
meno de signo contrario es}{\fs24 \kerning2 \rtlch
dbch \af2 \hich \af5 \loch \f5 \cf1 tambi\uc1 \u233 ?n factible, un deterioro del
medio ambiente, de las condiciones socio-}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 econ\uc1 \u243 ?micas y de la alimentaci\uc1 \u243 ?n pueden provocar
retardos, una realidad probable}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 hoy cuando una gran parte del orbe sufre a causa de las crisis c\uc1 \u237 ?
clicas del capitalismo}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
monopolista en un mundo cada vez m\uc1 \u225 ?s globalizado; estaremos de acuerdo
en que}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 los estudios de la
erupci\uc1 \u243 ?n deben actualizarse al menos una vez cada d\uc1 \u233 ?cada.
Por}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 tanto los estudios de
erupci\uc1 \u243 ?n dentaria no son un tema agotado, y pueden aportar}{\fs24 \
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{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 con el uso de
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los diagn\uc1 \u243 ?sticos y de los procederes cl\uc1 \u237 ?nicos, lo que puede
incidir en la disminuci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 de los costos econ\uc1 \u243 ?micos de los tratamientos,
se aportar\uc1 \u225 ?n datos para esclarecer las}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 relaciones de la erupci\uc1 \u243 ?n con la nutrici\uc1 \
u243 ?n y el proceso de crecimiento y desarrollo, los}{\fs24 \kerning2 \rtlch \
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u250 ?ltimo las informaciones obtenidas y el monitoreo de}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 las mismas, la comparaci\uc1 \u243 ?n con otras
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dbch \af2 \hich \af5 \loch \f5 \cf1 detecci\uc1 \u243 ?n de cambios, en el sentido
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ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 lo que ayudar\uc1 \u237 ?a al
establecimiento de acciones por parte de los encargados de}{\fs24 \kerning2 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 promover la salud p\uc1 \u250 ?blica,
consecuentes con la realidad y tendientes a mejorarla.}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Conclusiones: a pesar de tantos a\uc1 \u241 ?os
de estudio sobre la erupci\uc1 \u243 ?n dentaria un}{\fs24 \kerning2 \rtlch \
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hich \af5 \loch \f5 \cf1 causas: -Uso de diferentes metodolog\uc1 \u237 ?as. -Uso
de diferentes estad\uc1 \u237 ?sticos. -}{\fs24 \kerning2 \rtlch \ltrch \dbch \
hich \af5 \loch \f5 \cf1 Comparaci\uc1 \u243 ?n de estudios con diferentes tipos de
variables. -Pocas posibilidades}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
\cf1 objetivas para estudiar la odontog\uc1 \u233 ?nesis, la maduraci\uc1 \u243 ?n
y la calcificaci\uc1 \u243 ?n dentaria. -}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 Los estudios realizados en animales no son siempre extrapolables a los
humanos. -}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 No est\uc1 \
u225 ?n bien esclarecidas y delimitadas las influencias de las tendencias
seculares,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs21 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 de los factores
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dbch \af2 \hich \af5 \loch \f5 \cf1 dentaria.}{\fs24 \kerning2 \rtlch \ltrch \
af4 \loch \f4 \cf1 REFERENCIAS BIBLIOGR\uc1 \u193 ?FICAS}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 1.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 San Miguel, A., O. Veliz, and L. Ortega, }{\fs20 \kerning0 \
rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Orden y cronolog\uc1 \u237 ?a de
emergencia de la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
dentici\uc1 \u243 ?n permanente. Relaciones con el sexo, la talla y el peso.
Editorial Acad\uc1 \u233 ?mica}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0
loch \af0 {\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Espa\
uc1 \u241 ?ola. ISBN 978-3-8473-6620-1. }{\fs20 \kerning0 \rtlch \ltrch
\dbch \af2 \hich \af5 \loch \f5 \cf1 2012.}{\fs24 \kerning2 \rtlch \ltrch \dbch \
af5 \loch \f5 \cf1 San Miguel, A., O. Veliz, and L. Ortega, }{\fs20 \kerning0 \
rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Cronolog\uc1 \u237 ?a de
emergencia de la dentici\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af6 \loch \f6 \cf1 permanente en ni\uc1 \u241 ?os del municipio Santa Clara: Parte
I. }{\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Revista
Cubana de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\
{\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Estomatolog\uc1
\u237 ?a., 2011. 48(3).}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 San Miguel, A., O. Veliz, and L. Ortega, }{\fs20 \kerning0 \rtlch \ltrch \dbch
\af6 \hich \af6 \loch \f6 \cf1 Orden de emergencia de la dentici\uc1 \u243 ?n}{\
ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 permanente en ni\uc1 \u241 ?os del
municipio Santa Clara: Parte II. }{\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \hich \
af5 \loch \f5 \cf1 Revista Cubana de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af5 \loch \f5 \cf1 Estomatolog\uc1 \u237 ?a, 2011. 48(3).}{\fs24 \kerning2 \rtlch \
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hich \af6 \loch \f6 \cf1 de edad. (tesis para optar por el T\uc1 \u237 ?tulo de
Odont\uc1 \u243 ?logo. Universidad Cat\uc1 \u243 ?lica De}{\fs24 \kerning2 \rtlch \
dbch \af6 \hich \af6 \loch \f6 \cf1 Santiago de Guayaquil. Facultad Ciencias M\
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hich \af0 \loch \af0 {\fs20
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temporales: \uc1 \u191 ?causan}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0
secuelasen los dientes permanentes? }{\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \
hich \af5 \loch \f5 \cf1 Gaceta Dental 210, enero, 2010.}{\fs24 \kerning2 \rtlch \
dbch \af2 \hich \af5 \loch \f5 \cf1 Rojas Salazar, M., }{\fs20 \kerning0 \rtlch \
ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Cronolog\uc1 \u237 ?a de erupci\uc1 \
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{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 de Cirujano
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Odontolog\uc1 \u237 ?a. Lima Per\uc1 \
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Vitalle, M., et al., }{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \
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\af6 \hich \af6 \loch \f6 \cf1 Influencia del estado nutricional en la erupci\uc1 \
u243 ?n dentaria}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 2012 (tesis para optar por el t\uc1 \
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gica y manejo}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1
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ssegundos molares temporales y sus}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af6 \loch \f6 \cf1 consecuencias en el primer molar definitivo en ni\uc1 \
u241 ?os de 7 a 12 a\uc1 \u241 ?os de La Escuela}{\fs24 \kerning2 \rtlch \ltrch \
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dbch \af6 \hich \af6 \loch \f6 \cf1 Odont\uc1 \u243 ?logo. Universidad Central del
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hich \af5 \loch \f5 \cf1 Vellini-Ferreira, J., }{\fs20 \kerning0 \rtlch \ltrch \
dbch \af6 \hich \af6 \loch \f6 \cf1 Ortodoncia. Diagn\uc1 \u243 ?stico y
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kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Rev Soc Med Quir Hosp
Emerg Perez de Leon,}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 en internet) 2008; [citado29/6/2015];
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 desarrollo dental en pacientes de
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Revista Cubana de Estomatolog\uc1 \u237 ?a. ,}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 2009. 46(3): p. 1-8.}{\fs24 \kerning2 \rtlch \ltrch \
hich \af5 \loch \f5 \cf1 Toledo Mayar\uc1 \u237 ?, G. and R. Ota\uc1 \u241 ?o
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dbch \af2 \hich \af5 \loch \f5 \cf1 Estomatolog\uc1 \u237 ?a., 2010. 47(2): p. 207-
kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Morgado Seraf\uc1 \u237
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hich \af0 \loch \af0 {\fs20
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http://content.ebscohost.com/pdf29_30/pdf/2013/AY78/01Jul13/92527515.pdf?T=P&}{\
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dbch \af2 \hich \af5 \loch \f5 \cf1 2013.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 Morgado Seraf\uc1 \u237 ?n, D. and A. Garc\uc1 \u237 ?a Herrera, }{\fs20 \
kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Cronolog\uc1 \u237 ?a y
variabilidad de la erupci\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af6 \loch \f6 \cf1 dentaria. pdf. (serie en Internet) 2011. Disponible en:}{\
http://bvs.sld.cu/revistas/mciego/vol17_supl2_%202011/pdf/T16.pdf. }{\fs20 \
ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Morgado Seraf\uc1 \u237 ?n, D. and A.
Garc\uc1 \u237 ?a Herrera, }{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \
loch \f6 \cf1 Factores de riesgo de alteraciones}{\fs24 \kerning2 \rtlch \ltrch \
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 (serie en Internet) 2013. Disponible
en:}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1
http://bvs.sld.cu/revistas/mciego/vol19_supl1_2013/pdf/T15.pdf. }{\fs20 \kerning0 \
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dbch \af2 \hich \af5 \loch \f5 \cf1 Concepci\uc1 \u243 ?n Obreg\uc1 \u243 ?n, T.,
et al., }{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Orden
y cronolog\uc1 \u237 ?a de brote en dentici\uc1 \u243 ?n}{\fs24 \kerning2 \rtlch \
dbch \af6 \hich \af6 \loch \f6 \cf1 permanente. Rev Ciencias M\uc1 \u233 ?dicas de
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dbch \af6 \hich \af6 \loch \f6 \cf1 2013 (citado29/6/2015) 17(3): (aprox 7 p).
Disponible en:}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-}{\fs24 \kerning2 \
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ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Plasencia, E., F. Garc\uc1 \u237 ?a-
Izquierdo, and M. Puente-Rodr\uc1 \u237 ?guez, }{\fs20 \kerning0 \rtlch \ltrch \
dbch \af6 \hich \af6 \loch \f6 \cf1 Edad de emergencia y}{\fs24 \kerning2 \rtlch \
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Asturias. RCOE [serie en Internet]. 2005
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{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 condiciones de
prematuridad y ni\uc1 \u241 ?os nacidos a t\uc1 \u233 ?rmino. pdf. (serie en
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adjustright \lin0 \rin0 \absw9029 \phcol \pvmrg \posx2137
\posy1463 \wrapdefault \itap0 \fs21 \kerning2 \rtlch \ltrch \dbch \af2 \hich \
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ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 ntre_el_tama%C3%B1o_dentario_en_ni
%C3%B1os_nacidos_en_condiciones_de_.p}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
hich \af6 \loch \f6 \cf1 df. }{\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \hich \
af5 \loch \f5 \cf1 2014.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
loch \af0 {\fs20 \kerning0 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \f5 \cf1 Pl\
uc1 \u225 ?cido Choque, M., }{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \
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la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }\pard \
dental en infantes del Hospital Nacional Docente Madre del Ni\uc1 \u241 ?o San}{\
ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 Bartolom\uc1 \u233 ?, 2010 (tesis para
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Facultad de Odontolog\uc1 \u237 ?a. Lima Per\uc1 \u250 ?) 2011.}{\fs24 \kerning2 \
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entre la edad dental y la edad cronol\uc1 \u243 ?gica. (tesis para}{\fs24 \kerning2
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hich \af6 \loch \f6 \cf1 Medicina. Departamento de Toxicolog\uc1 \u237 ?a y
Legislaci\uc1 \u243 ?n Sanitaria) 2010.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
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en pacientes entre los 4 y}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \
\cf1 21 a\uc1 \u241 ?os de edad en una poblaci\uc1 \u243 ?n de la ciudad de
Chihuahua, M\uc1 \u233 ?xico. (tesis para}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2
\cf1 optar por el t\uc1 \u237 ?tulo de Doctor en Odontolog\uc1 \u237 ?a.
Universidad de Granada. Facultad de}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich
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de Medicina Legal y}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \
Forense) 2010.}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \
Abesi, F., et al., }{\fs20 \kerning0 \rtlch \ltrch \dbch \af6 \hich \af6 \loch \
f6 \cf1 Assessment of Dental Maturity of Children Aged 7-15 Years Using}{\fs24 \
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Population. J Dent (Shiraz) Dec 2013; 14(4):}{\fs24 \kerning2 \rtlch \ltrch \dbch \
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http://www.medigraphic.com/pdfs/ortodoncia/mo-}{\fs24 \kerning2 \rtlch \ltrch \dbch
hich \af6 \loch \f6 \cf1 2013/mo131e.pdf }{\fs20 \kerning0 \rtlch \ltrch \dbch \af2
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edad dentaria en ni\uc1 \u241 ?os de la}{\fs24 \kerning2 \rtlch \ltrch \dbch \af2 \
af6 \loch \f6 \cf1 comunidad de Mdrid. Cambios seculares. pdf. (serie en Internet)
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http://acceda.ulpgc.es/xmlui/bitstream/handle/10553/10748/0686715_00000_0000.pd}{\
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sobre a s\uc1 \u237 ?ndrome da erup\uc1 \u231 ?\uc1 \u226 ?o dentaria e}{\fs24 \
ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 suas manifesta\uc1 \u231 ?\uc1 \u244 ?es
cl\uc1 \u237 ?nicas na infancia. pdf. (serie en Internet) 2010. Disponible en:}{\
http://content.ebscohost.com/pdf23_24/pdf/2010/1D2F/01Jan10/52768617.pdf?T=P&}{\
P=AN&K=52768617&S=R&D=lth&EbscoContent=dGJyMMvl7ESeqLY4v%2BbwOLC}{\fs24 \kerning2 \
mr0yep7NSs6m4S7KWxWXS&ContentCustomer=dGJyMPGnr06vr7JJuePfgeyx64fg}{\fs24 \kerning2
ltrch \dbch \af6 \hich \af6 \loch \f6 \cf1 3%2Bp9. }{\fs20 \kerning0 \rtlch \
kerning2 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \par }}

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