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Samenvatting Praktijk Histologie van de Cariës
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1Samenvatting: Histologie van Cariës:
Praktijk
Ontkalkte coupes:
• Hoog-gemineraliseerde structuren zijn niet te zien
o Glazuur
o Groeilijnen
o Intratubulair dentine
o Pulpastenen
o Er zijn ook geen dentinetubuli aanwezig
▪ Deze zijn ingestort
• Wat is er wel te zien:
o Pulpaweefsel (van buiten naar binnen)
▪ Odontoblastenlaag
▪ Celvrije zone van Well
▪ Celrijke zone
▪ Bulk van de pulpa met bloedvaten
o Primair, secundair en tertiair dentine
▪ Tertiair zal andere kleur hebben
o Cement
• Opmerking:
o Wordt zeer weinig gebruikt in de cariologie
Histologie van Cariës: Praktijk
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Slijpcoupes:
• Weefsel en cellen zijn niet te zien
o Pulpa zal ontbreken
• Wat is er wel te zien:
o Glazuur:
▪ Stria van Retzius
• Zal uitmonden in perykymata
▪ Glazuurlamellen
▪ Banden van Hunter-Schreger
▪ Glazuurbosjes (tuft)
o Glazuur-dentinegrens (EDJ)
o Dentine:
▪ Dentine tubuli
▪ Tubulaire sclerose
▪ Groeilijnen von Ebner
• Contourlijnen van Owen
o Kan duiden op infectie op deze periode van ontwikkeling
o Pulpastenen
Contourlijn
van Owen
Pulpasteen
Groeilijnen von Ebner
Tubulaire sclerose
Banden van Hunter-Schreger
Glazuurlamel
Stria van Retzius
Histologie van Cariës: Praktijk
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