RESUMEN
Treatment of edentulous and atrophic mandibular fractures is extremely difficult. Generally, mandibular fractures are repaired and fixed as internal fixation using a reconstruction plate or miniplates with intra- or extraoral approach. Few cases in which external fixation including a transmucosal fixation was performed have also been reported. We report a case of atrophic and edentulous mandibular fracture which was healed by the fixation using dental implants and implant-supported bridge.
RESUMEN
The objective of this study was to determine glycemic and breath hydrogen responses in 10 healthy men in response to highly cross-linked starch phosphate (HXLS), made of tapioca starch (TS). Plasma glucose concentration was analyzed at baseline and at 30, 60, 90, 120, 150, and 180 min postprandially. In addition, breath hydrogen excretion was measured at baseline and at hourly intervals, over 10 h, after test substance challenge. When compared with unmodified TS easily digested, the area under the curve of plasma glucose of HXLS was 64% smaller, and was almost the same as that of microcrystalline cellulose. When compared with fructo-oligosaccharide rapidly fermented by the microbial bacteria, the area under the excretion curve of breath hydrogen gas of HXLS was 93% smaller, and was almost the same as that of water only. These results show that HXLS is harder to digest and ferment than unmodified TS in men.
Asunto(s)
Digestión , Aditivos Alimentarios/química , Aditivos Alimentarios/metabolismo , Manihot/química , Raíces de Plantas/química , Almidón/química , Almidón/metabolismo , Adulto , Glucemia/análisis , Pruebas Respiratorias , Estudios Cruzados , Fibras de la Dieta/administración & dosificación , Fibras de la Dieta/análisis , Ingestión de Energía , Fermentación , Alimentos Fortificados/análisis , Índice Glucémico , Humanos , Hidrógeno/análisis , Masculino , Valor Nutritivo , Fosforilación , Periodo PosprandialRESUMEN
In vitro and in vivo digestibilities of hydroxypropyl starch were investigated to determine an appropriate nondigested carbohydrate assaying method for hydroxypropyl starch. Hydroxypropyl tapioca starch (HPTS), with a 0.338 degree of substitution, was used as a hydroxypropyl starch source. Practically all nondigested carbohydrate in HPTS was low molecular weight and was not precipitated in 78% ethanol. The contents of nondigested carbohydrate in HPTS and in effluents of ileorectomized rats fed the HPTS diet obtained by the AOAC 2001.03 (enzyme-gravimetric-HPLC method) were almost the same, 56% and 59%, respectively. The recovery of hydroxypropyl groups from ileorectomy effluents was 98%. The AOAC 2001.03 method is suggested to be appropriate in determining the content of nondigested carbohydrates in hydroxypropyl starch.