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Review ARticle

           Extrusion-based 3D food printing – Materials and

           machines


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           Cavin Tan , Wei Yan Toh , Gladys Wong  and Lin Li  1*
           1  Singapore Centre for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang Technological University,
             Singapore
           2  Nutrition and Dietetics, Khoo Teck Puat Hospital, Singapore


           Abstract:  To help people with dysphagia increase their food intake, 3D printing can be used to improve the visual appeal of
           pureed diets. In this review, we have looked at the works done to date on extrusion-based 3D food printing with an emphasis
           on the edible materials (food inks) and machinery (printers) used. We discuss several methods that researchers have
           employed to modify conventional food materials into printable formulations. In general, additives such as hydrocolloids
           may modify the rheological properties and texture of a pureed food to confer printability. Some examples of such additives
           include starch, pectin, gelatin, nanocellulose, alginate, carrageenan etc. In the second part, we have looked at various food
           printers that have been developed for both academic and commercial purposes. We identified several common advantages
           and limitations that these printers shared. Moving forward, future research into food printer development should aim to
           improve on these strengths, eliminate these limitations and incorporate new capabilities.
           Keywords: additive manufacturing; food printer; food ink; hydrocolloid; dysphagia

           *Correspondence to: Lin Li, Singapore Center for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang Technological
           University, Singapore 639798; mlli@ntu.edu.sg

           Received: April 30, 2018; Accepted: June 13, 2018; Published Online: June 21, 2018
           citation: Tan C, Toh W Y, Wong G, et al., 2018, Extrusion-based 3D food printing – Materials and machines. Int J Bioprint,
           4(2): 143. http://dx.doi.org/10.18063/IJB.v4i2.143

           1. introduction                                     However, the complications (e.g. aspiration pneumonia,
                                                               malnutrition and dehydration), which are a direct result
           Dysphagia is a debilitating condition whereby a patient is   of dysphagia , are usually severe if there is no timely
                                                                          [7]
           unable to swallow food in a safe manner.  This condition   and appropriate intervention. A common intervention
           is usually the result of weakening or loss of muscle   technique widely employed by healthcare providers is
           function responsible for the reflex actions that take   the modification of food consistency. For example, in
           place during deglutition. Dysphagia typically follows   Singapore’s Khoo Teck Puat Hospital, conventional food
           neurological disorders such as stroke, Parkinson disease   is blended to a soft and smooth consistency and then
           and progressive dementia, all which scale in occurrence   thickened with potato flakes so that dysphagia sufferers do
           with age. Across a sample size of 3,174 elderly hospital   not choke on overly structured foods, nor do they aspirate
           patients 65 years or older, dysphagia was found to affect   low-viscosity liquids. The result of such food texture
                            [1]
           7.6% of the patients . However, in the case of a nursing   modification, is that relatively unappetizing homogenous
                                                     [2]
           home, prevalence of dysphagia peaks up to 60% . It is   food purees are served at every meal, leading to poor oral
           also observed that 45–62 % of stroke patients experience   intake of both food and liquids .
                                                                                        [8]
           some form of dysphagia [3–6] .                       The advent of 3D printing technology will allow us
            This condition, by itself, is not life-threatening.   to transform these shapeless purees into 3D structures

           Extrusion-based 3D food printing – Materials and machines. © 2018 Tan C, et al. This is an Open Access article distributed under the terms of the Creative
           Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), permitting all non-commercial use,
           distribution, and reproduction in any medium, provided the original work is properly cited.
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