<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1659-0775</journal-id>
<journal-title><![CDATA[Odontología Vital]]></journal-title>
<abbrev-journal-title><![CDATA[Odontología Vital]]></abbrev-journal-title>
<issn>1659-0775</issn>
<publisher>
<publisher-name><![CDATA[Universidad Latina de Costa Rica, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1659-07752018000100081</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Distalización de molares maxilares utilizando dispositivos de anclaje esqueletal directo en pacientes con maloclusiones Clase II. Revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Distalisation of maxillary molars using direct skeletal anchor devices in patients with Class II malocclusions. Literature review.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mandakovic]]></surname>
<given-names><![CDATA[Danica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Andrés Bello  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Andrés Bello  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<numero>28</numero>
<fpage>81</fpage>
<lpage>90</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1659-07752018000100081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1659-07752018000100081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1659-07752018000100081&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La relación molar de Clase II de Angle se encuentra aproximadamente en un 20% de la población. Cuando la maloclusión es de origen dentario, generada principalmente por una migración de los segmentos laterales, la opción de tratamiento más frecuente para generar espacio y establecer una relación molar de Clase I, es la distalización molar. Un gran número de aparatos y protocolos de tratamiento se han descrito en la literatura. Uno de los más utilizados es el Péndulo, pero debido a su diseño que utiliza anclaje dentario, y a que su fuerza pasa a nivel de la corona de los primeros molares, presenta muchas desventajas.  Objetivo:  El propósito de esta revisión es analizar los dispositivos de distalización molar que utilizan anclaje esqueletal directo, en los que la fuerza aplicada pasa cerca del centro de resistencia del primer molar superior, con el objetivo de determinar si son superiores en cuanto a eficiencia y minimización de los efectos adversos, cuando se compara con los aparatos convencionales.  Resultado:  De un total de 25 artículos seleccionados con base en el año de publicación y el empleo de anclaje esqueletal, se utilizaron 7 artículos para revisión, basados en criterios de inclusión y exclusión.  Discusión:  Al comparar los aparatos, se observa gran variabilidad en duración de tratamiento, cantidad y tasa de distalización. A pesar de estas diferencias todos mostraron éxito clínico el finalizar la mecánica de distalización. Por otra parte, existe una distalización espontánea de los segundos premolares superiores e incluso de los primeros premolares, pero con estos dispositivos que no utilizan estas piezas dentarias como anclaje y que, por lo tanto, quedan libres y son distalizados con la ayuda de las fibras transeptales.  Conclusión:  Se concluye que la distalización molar ha demostrado ser un procedimiento eficaz cuando se utilizan aparatos con anclaje esqueletal directo y con un vector de fuerza que pase cerca del centro de resistencia de los primeros molares. Estos métodos no generan efectos secundarios en la región de anclaje cuando se compara con aparatos convencionales, donde existen migración mesial de premolares y piezas anteriores. En todos los casos analizados los molares superiores se distalizaron a una relación de clase I en un corto período , incluso a pesar de la presencia de los segundos y terceros molares maxilares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The Angle Class II molar ratio is approximately 20% of the population. When malocclusion is of dental origin, mainly generated by a migration of lateral segments, the most frequent treatment option to generate space and to establish a Class I molar relationship is molar distalization. A large number of treatment devices and protocols have been described in the literature. One of the most used is the Pendulum, but because of its design that uses dental anchorage and its force happens at the level of the crown of the first molars, presents many disadvantages.  Objective:  The purpose of this review is to analyze molar distalization devices using direct skeletal anchors, in which the applied force passes near the center of resistance of the upper first molar, in order to determine if they are superior in efficiency and minimization of adverse effects when compared with conventional appliances.  Results:  The search process included a total of 25 articles selected based on year of publication and use of skeletal anchorage, 7 articles were finally used for review, based on inclusion and exclusion criteria.  Discussion:  When comparing the devices, there is great variability in duration of treatment, amount of distalization and rate of distalization. In spite of these differences all showed clinical success to finalize the mechanics of distalization. On the other hand, here is a spontaneous distalization of the second upper premolars and even the first premolars with these devices that do not use these dental pieces as an anchorage, therefore, they remain free and are distalized with the help of the transseptal fibers.  Conclusion:  It is concluded that molar distalization has proved to be an effective procedure when using devices with direct skeletal anchors and with a force vector passing close to the resistance center of the first molars. These methods do not generate side effects in the anchoring region when compared to conventional apparatus where there is mesial migration of premolars and anterior parts. In all the cases analyzed, the maxillary molars were distalized to a class I relationship in a short period of time, even in spite of the presence of the second and third maxillary molars.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Distalización molar]]></kwd>
<kwd lng="es"><![CDATA[anclaje esqueletal]]></kwd>
<kwd lng="es"><![CDATA[maloclusión clase II]]></kwd>
<kwd lng="en"><![CDATA[Molar distalization]]></kwd>
<kwd lng="en"><![CDATA[skeletal anchorage]]></kwd>
<kwd lng="en"><![CDATA[class II malocclusion]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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