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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        The effect of 3D-printed bone tissue scaffolds

                                        geometrical designs on bacterial biofilm
                                        formation



                                        Abdulsalam A. Al-Tamimi *, and Esraa Aldawood 2
                                                              1
                                        1 Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi
                                        Arabia
                                        2 Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, King Saud
                                        University, Riyadh, Saudi Arabia



                                        Abstract

                                        Bone fractures are recognized as a global health problem. A common strategy to
                                        tackle this issue is to employ a tissue engineering scaffold to accelerate tissue
                                        healing. However, one of the main challenges that can result in delaying the recovery
                                        is the risk of bacterial infections. This study aims to assess the impact of the geometry
                                        and the porosity of tissue scaffolds on the Staphylococcus aureus biofilm formation.
                                        Three triply periodic minimal surface designs of Schwarz primitive (SP), gyroid (GY),
                                        and Schwarz diamond (SD) and re-entrant auxetic (RE) design were examined and
                                        compared to a reference design (RD) considering two different porosity levels of 75%
                                        and 45%. The amount of biofilm was quantified using crystal violet assay and was
                                        visualized using scanning electron microscopy. The SP scaffold, with low porosity,
                                        exhibited a significantly less amount of bacterial biofilm formation and was regarded
                                        as having the best design among the others, while the SD with low porosity showed
            *Corresponding author:      the greatest amount of biofilm. The morphological analysis was also in line with the
            Abdulsalam A. Al-Tamimi
            (aaaltamimi@ksu.edu.sa)     crystal violet assay results. On the other hand, the surface roughness was affected by
                                        the complexity, geometrical variations, and limitations of fused filament fabrication
            Citation: Al-Tamimi AA, Aldawood
            E. The effect of 3D-printed bone   three-dimensional printing. For the RD, SP, GY, and SD designs, an increase in surface
            tissue scaffolds geometrical designs   roughness was demonstrated to increase the production of bacterial biofilms.
            on bacterial biofilm formation. Int J   Without statistical significance, the RE design showed the opposite trend. Contrary
            Bioprint. 2024;10(1):1768
            doi: 10.36922/ijb.1768      to other designs, the increase in pore size of the SP and GY designs was associated
                                        with the development of bacterial biofilms. This study suggests that it is possible
            Received: September 6, 2023
            Accepted: October 26, 2023  to minimize the likelihood of bacterial biofilm formation by optimizing the scaffold
            Published Online: January 5, 2024  geometry and its manufacturing.
            Copyright: © 2024 Author(s).
            This is an Open Access article   Keywords: 3D printing; Auxetic; Bacterial biofilm; Bone scaffold; Geometrical
            distributed under the terms of the
            Creative Commons Attribution   design; Triply periodic minimal surface
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: AccScience
            Publishing remains neutral with   As one of the global public health issues, bone trauma has put an extensive pressure
            regard to jurisdictional claims in   on the healthcare system. Bone fractures, either mild or severe, always require medical
            published maps and institutional
            affiliations.               intervention. In mild fractures, functionality of the bone in healing and remodeling is



            Volume 10 Issue 1 (2024)                       324                          https://doi.org/10.36922/ijb.1768
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