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Comparación Del Perfil Proteico Del Ligamento Periodontal Versus El Hueso Alveolar Con El Complejo Periodontal Diferenciado a Partir De Las Dppscs

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Comparación Del Perfil Proteico Del Ligamento Periodontal Versus El Hueso Alveolar Con El Complejo Periodontal Diferenciado a Partir De Las Dppscs Comparación del perfil proteico del ligamento periodontal versus el hueso alveolar con el complejo periodontal diferenciado a partir de las DPPSCs Neus Carrió Bertrán ADVERTIMENT. La consulta d’aquesta tesi queda condicionada a l’acceptació de les següents condicions d'ús: La difusió d’aquesta tesi per mitjà del servei TDX (www.tesisenxarxa.net) ha estat autoritzada pels titulars dels drets de propietat intel·lectual únicament per a usos privats emmarcats en activitats d’investigació i docència. No s’autoritza la seva reproducció amb finalitats de lucre ni la seva difusió i posada a disposició des d’un lloc aliè al servei TDX. No s’autoritza la presentació del seu contingut en una finestra o marc aliè a TDX (framing). Aquesta reserva de drets afecta tant al resum de presentació de la tesi com als seus continguts. En la utilització o cita de parts de la tesi és obligat indicar el nom de la persona autora. ADVERTENCIA. La consulta de esta tesis queda condicionada a la aceptación de las siguientes condiciones de uso: La difusión de esta tesis por medio del servicio TDR (www.tesisenred.net) ha sido autorizada por los titulares de los derechos de propiedad intelectual únicamente para usos privados enmarcados en actividades de investigación y docencia. No se autoriza su reproducción con finalidades de lucro ni su difusión y puesta a disposición desde un sitio ajeno al servicio TDR. No se autoriza la presentación de su contenido en una ventana o marco ajeno a TDR (framing). Esta reserva de derechos afecta tanto al resumen de presentación de la tesis como a sus contenidos. En la utilización o cita de partes de la tesis es obligado indicar el nombre de la persona autora. WARNING. On having consulted this thesis you’re accepting the following use conditions: Spreading this thesis by the TDX (www.tesisenxarxa.net) service has been authorized by the titular of the intellectual property rights only for private uses placed in investigation and teaching activities. Reproduction with lucrative aims is not authorized neither its spreading and availability from a site foreign to the TDX service. Introducing its content in a window or frame foreign to the TDX service is not authorized (framing). This rights affect to the presentation summary of the thesis as well as to its contents. In the using or citation of parts of the thesis it’s obliged to indicate the name of the author. Universitat Internacional de Catalunya UIC Regenerative Medicine Research Institute Comparación del perfil proteico del ligamento periodontal versus el hueso alveolar con el complejo periodontal diferenciado a partir de las DPPSCs Tesis doctoral Neus Carrió Bertrán Director: Dr. Maher Atari Abouassi Co-Director: Dr. Sheyla Montori Pina Co-Director: Dr. Ashraf Madhoun Septiembre 2017 Agradecimientos AGRADECIMIENTOS Vull agair al Dr. Maher Atari la possibilitat d’iniciar-me en el món de la ciènica. Aprecio el seu talent, generositat i sobretot gran amistat. Agrair a la Dra. Sheyla Montori el seu estimat suport i experiència que m’ha regalat sempre. I would like to give special thanks to Dr. Ashraf Madhoun for his unconditional support, hard and excellent work. Agrair al Dr. Samir las seva valiosa col.laboració en el projecte i confiança. Agrair a tot el departament de Periodoncia encapçalat pel Dr. Nart la seva professionalitat i treball incansable de millora. Agrair a Carlos Gil, Ester Martinez, Raquel Nuñez i Begoña Bosch la paciència i l’ajuda incondiconal. Agrair a Julia Hategan la seva ajuda, generositat i passió per la vida. Agrair a la Barbara Giordano, Manuel Cabezas i Eduard Ferrés el seu esforç i compliciat que tansmeten. Agrair a Noelia Galán la seva excel.lència en l’àmbit laboral i personal. Agrair a Luis Delgado i el Dr. Román Perez compartir els seus coneixements i aportar una nova visió i estil de treball. Agrair a la Marta, Leire, Èlia, Gemima i Joan les ganes i compromís en el projecte. Agrair molt especialment a la Núria tot la feina realitzada i l’ajuda amb l’estadística. Agrair a la Gemma i Miguel el seu recolzament i estima. Agrair els meus pares el seu poder absolut d’amor incondicional i dedicació plena. Agrair al Dani la valiosa feina que ha fet en les il.lustracions de la tesis. Agrair-te el constant recolzament, compromís, generositat i amor. Neus Carrió Bertrán | III Índice ÍNDICE DE CONTENIDOS ABREVIATURAS .................................................................................................................. IX ÍNDICE DE TABLAS ....................................................................................................... XVII ÍNDICE DE FIGURAS ...................................................................................................... XIX 1. INTRODUCCIÓN ............................................................................................................ 23 1.1. La enfermedad periodontal .................................................................................................................................. 25 1.1.1. Definición de la enfermedad periodontal ............................................................................................. 25 1.1.2. Etiología de la Enfermedad Periodontal ............................................................................................... 25 1.1.3. Objetivos del tratamiento periodontal .................................................................................................. 26 1.1.4. Tratamiento de los defectos infraóseos ................................................................................................ 26 1.1.5. Tratamiento de la superficie radicular para el tratamiento de defectos infraóseos ......... 28 1.2. El tejido periodontal ................................................................................................................................................. 28 1.2.1. Embriología dental ......................................................................................................................................... 28 1.2.2. Ligamento periodontal ................................................................................................................................. 31 1.2.3. Hueso alveolar .................................................................................................................................................. 34 1.2.4. Cemento .............................................................................................................................................................. 36 1.2.5. Marcadores periodontales y óseos .......................................................................................................... 37 1.2.5.1. Marcadores del ligamento periodontal ....................................................................................... 37 1.2.5.2. Marcadores óseos ................................................................................................................................. 40 1.3. Células madre .............................................................................................................................................................. 41 1.3.1. Células madre embrionarias ...................................................................................................................... 42 1.3.2. Células madre pluripotentes inducidas (iPSC) .................................................................................. 42 1.3.3. Células madre adultas ................................................................................................................................... 43 1.3.3.1. Células madre de origen dental ...................................................................................................... 43 1.3.3.1.1. Células madre de la pulpa dental Dental Pulp Stem Cells (DPSCs) .......................................... 44 1.3.3.1.2. Células madre de dientes temporales exfoliados Stem cells from Human Exfoliated Deciduous teeth (SHED) ........................................................................................................................................................ 44 1.3.3.1.3. Células madre del ligamento periodontal Periodontal Ligament Stem Cells (PDLSCs) . 45 1.3.3.1.4. Células madre de la papila dental Stem Cells from the Apical Papilla (SCAP) .................... 45 1.3.3.1.5. Células madre del folículo dental progenitor Dental Follicle Precursor Cells (DFPCs) . 46 1.3.3.1.6. Células madre con características pluripotentes de la pulpa dental Dental Pulp Pluripotent like-stem cells (DPPSCs) .............................................................................................................................. 47 1.3.3.2. Células madre de origen oral no dental ...................................................................................... 48 1.3.3.2.1. Células madre gingivales Gingiva-Derived MSCs (GMSCs) .......................................................... 48 1.3.3.2.2. Células madre de hueso alveolar Alveolar bone-derived MSCs (ABMSCs) .......................... 48 1.4. Terapia celular en la regeneración periodontal........................................................................................... 51 1.5. Técnica proteómica .................................................................................................................................................. 51 2. JUSTIFICACIÓN .............................................................................................................. 53 3. HIPÓTESIS DE TRABAJO
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