Indiana University-Purdue University Indianapolis (IUPUI) / Bisphosphonates, effective inhibitors of bone resorption, are used in the treatment of postmenopausal osteoporosis. At present, the effects of bisphosphonate therapy on the maxilla have not been quantitatively studied. As part of the masticatory system, dentate alveolar bone is exposed to a unique pattern of loading. As such, data obtained from bisphosphonate studies of other bones may not be applicable to the cortical bone of the dentate maxilla. The objective of this study is to histomorphometrically quantify the effects of alendronate and risedronate therapy on alveolar bone of the dog maxilla (MX) and to determine if this site is affected differently than the cortical bone in the rib (R) from these same animals. Twenty-two female dogs were divided into three treatment groups of 1 mg/kg/day alendronate, 0.5 mg/kg/day risedronate, and a saline vehicle control. Fluorochrome labels were used to mark sites of bone formation. Maxillary and rib specimens from each dog were prepared for analysis of static and dynamic histomorphometric parameters. MX cortical bone surrounding the third premolar was further analyzed by side (buccal vs. lingual) and region (coronal vs. apical). Mineralizing surface (MS/BS) and bone formation rate (BFR) in the coronal maxilla of the control group is significantly (p < 0.05) higher than that of the bisphosphonate groups. In bisphosphonate treated animals, MS/BS, BFR, and activation frequency (AcF) were significantly (p < 0.05) higher in the R than in the MX. In all treatment groups, very little osteoid was detected, and no significant difference in the mineral apposition rate (MAR) was noted. These results indicate that: (1) bisphosphonate dosages used in this study effectively inhibited remodeling within the dog maxilla; (2) alveolar bone remodeling was decreased more than remodeling in rib cortical bone; (3) within the dentate maxilla, alveolar bone remodeling was decreased more in the coronal than in the apical region, and (4) none of the groups appears to show inhibition of mineralization.

The interaction of osteoclasts and osteoblasts regulates bone density and the maintenance of osseointegration of implants. To investigate osteoblastic response to strain, rat osteosarcoma cells were cultured on titanium plates and subjected to one of three treatments: a neutral control (0 microstrain), tension (1000 microstrain), and compression (1000 microstrain). Treatments were applied via 4 point bending for fifteen minutes each day to a strain of 1mm/m at a sinusoidal frequency of 1Hz. Cells were measured for DNA as indicator of proliferation, alkaline phosphatase as indicator of phenotype and total protein and calcium deposition as indicators of matrix formation. Results indicated that DNA and total protein differed significantly between treatments. The alkaline phosphatase levels and calcification of matrix did not. The differences in the levels of DNA indicate different growth patterns between treatments. The total protein levels imply distinctions in matrix deposition. The alkaline phosphatase and calcium levels did not vary significantly, implying no difference in bone-specificity or calcification.

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京都大学 / 新制・課程博士 / 博士(医学) / 甲第23797号 / 医博第4843号 / 新制||医||1058(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 川口 義弥, 教授 藤田 恭之, 教授 小濱 和貴 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

The purpose of this thesis is to examine the possibilities for the revitalization of an abandoned railroad station and to derive from the project significant issues and strategies which can be applied to any reuse project. / Master of Architecture