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International Journal of Bioprinting                                         Advancements in 3D printing




            Table 2. Comparison of different materials
             Materials                       Advantages                       Disadvantages
             Cellulose                       Abundant in content              Poor solubility
             Chitin                          Abundant in content              Poor solubility
             Hyaluronic acid                 Good mechanical properties       The preparation process is intricate and costly
             Polyethylene                    High biocompatibility            Poor solubility
             Polypropylene                   Excellent electrical performance  Poor antioxidant
             Polyvinyl chloride              Excellent electrical performance  Low biocompatibility
             Polyvinyl alcohol               Excellent electrical performance  Poor fluidity
             Polymethyl methacrylate         High biocompatibility            The preparation process is intricate and costly
             Polycaprolactone                Excellent electrical performance  Poor solubility
             Poly(lactic acid-co-glycolic acid)  High biocompatibility        The preparation process is intricate and costly
             Hydrogels                       High biocompatibility            Low biocompatibility
             Biomedical ceramics             High biocompatibility            The preparation process is intricate and costly


            engineering, significantly enhancing bone regeneration   utilizes living cells as raw materials to print functional
            processes.  As 3D printing technology for biomedical   living tissues. This approach can employ autogenic adult
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            ceramics continues to mature, the potential clinical   stem cells, which are induced to differentiate  in vitro, as
            applications for these materials are likely to expand further,   the foundation for printing functional organs or tissues.
            opening up new avenues for innovation in the medical   This can be achieved by in vitro and in vivo means, thus
            field (Table 2).                                   overcoming the challenge of organ scarcity by generating
                                                               substitutes for malfunctioning organs or tissues. 100,101  In the
            4. Applications of 3D bioprinting                  realm of organ transplantation, this technique stands as a
                                                               notable method for generating bone, artificial blood vessels,
            As  advancements in  science  and technology continue,   skin, vascular splints, heart tissue, and cartilage structures.
            organ transplantation has emerged as a lifeline for an
            increasing number of individuals facing organ failure and   4.1. Artificial bone
            diagnosed with malignant tumors. However, the persistent   The demand for personalized customized artificial bones
            shortage of donors has posed significant challenges for   in clinical applications is significant due to the irregular
            both patients and medical professionals. This scarcity has   shapes of human bones and substantial variations in inter-
            spurred the growth of underground and black-market organ   individual anatomy. 102,103  Ma’s work involves femtosecond
            trading. Recognizing the importance of addressing this   laser-programmed 3D microrobotic prototype  artificial
            concern, the Chinese government has resorted to scientific   musculoskeletal systems.  This approach utilizes two
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            approach, placing significant emphasis on developing new   photosensitive materials sequentially built in predesigned
            technologies in the field of organ transplantation. Statistics   structures, offering a general protocol for the direct
            reveal that out of the 1.5 million individuals in China   printing of 3D microrobots composed of multiple
            afflicted with organ failure each year, only a fraction, roughly   materials. Huang et al. introduced a new surgical strategy
            over 10,000 people, are qualified for organ transplantation.   for  anterior  fixation  of  unstable  sacral  fractures  assisted
            Unfortunately, many of the unselected individuals are left   by a minimally invasive subtropical approach using 3D
            to face the increasing risk of organ deterioration or fatality   printing.  This approach minimizes trauma and bleeding
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            while awaiting suitable donors. 98,99  In recent years, the advent   while addressing complex fractures. Strehin developed a
            of 3D printing technology has offered a potential solution to   chondroitin sulfate-polyethylene glycol (CS-PEG) adhesive
            the grave challenges encountered in organ transplantation.   hydrogel with versatile biomedical applications.  By
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            The inception of 3D printing technology dated back to the   functionalizing the carboxyl groups on the chondroitin
            mid-1990s. This technique involves methodologies such as   sulfate (CS) chain with n-hydroxysuccinimide (NHS),
            photocuring and layering of materials to rapidly prototype   adhesive hydrogels comprising biological and synthetic
            a design. This emerging application technology relies on   components were established. On the other hand, Dekali
            computer-generated 3D digital imaging and multi-level   et al. reported a reproducible bioprinting process, followed
            continuous printing techniques. 3D printing for artificial   by successful post-bioprinting chondrogenic differentiation
            organs is rooted in this technology, which specifically   using numerous human mesenchymal stem cell spheroids

            Volume 10 Issue 2 (2024)                        61                                doi: 10.36922/ijb.1752
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