Kype Kype A kype is a hook-like secondary sex characteristic which develops at the distal tip of the lower jaw in some male salmonids prior to the spawning season. The structure usually develops in the weeks prior to, and during, migration to the spawning grounds. In addition to the development of the kype, a large depression forms in the two halves of the premaxilla in the upper jaw, allowing the kype to fit into the premaxilla when the mouth is closed. The kype functions as a secondary sexual characteristic and influences the formation of dominance hierarchies at the spawning grounds. The
Osteonecrosis of the jaw should be eliminated before bisphosphonate therapy is initiated in these patients to reduce the necessity of subsequent dentoalveolar surgery. The degree of risk for osteonecrosis in patients taking oral bisphosphonates, such as alendronate (Fosamax), for osteoporosis is uncertain and warrants careful monitoring. Patients taking dexamethasone and other glucocorticoids are at increased risk. Matrix metalloproteinase 2 may be a candidate gene for bisphosphonate-associated osteonecrosis of the jaw, since it is the only gene known to be associated with bone abnormalities and atrial fibrillation, both of which are side effects of bisphosphonates. Persons with ONJ may have either necrotic bone or bone