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Agarwala
           A                                                   wherein either a material precursor is illuminated
                                                               by light or a pattern is projected [67,69] . Curing of
                                                               the material takes places in selected regions where
                                                               the  light  hits  it.  In  most  printers,  the  printhead
                                                               and platform  move  in  X-Y  directions  relative  to
                                                               each  other.  However,  here  a  Z-displacement  of
                                                               the precursor reservoir is performed to fabricate
                                                               a 3D shape. Detailed discussion on operation and
                                                               methodology  of  these  techniques  is  beyond  the
                                                               scope  of  this  review.  Hydrogel  to  be  processed
           B                                                   through the printer needs to be converted into an ink
                                                               format. Ink development is considered one of the
                                                               most important aspects of 3D printing. Hydrogel
                                                               inks need to have the right rheological properties
                                                               to fulfill the physical and mechanical needs of the
                                                               orienting process. Ink formulation, properties, and
                                                               optimization are a widely researched [70-72]  area and
                                                               will not be discussed in this paper.
                                                                 Sayyar et al. used extrusion based bioplotting
                                                               system  to  print  graphene-chitosan  composite
           C                                                   biocompatible  scaffolds.  Addition  of  3%  of
                                                               graphene  in  the  composite  resulted  in  200%
                                                               enhancement  of mechanical  strength .  They
                                                                                                     [28]
                                                               further  developed  a  new  UV-crosslinkable
                                                               conducting hydrogel based on the same
                                                               materials . Functionalized chitosan served as the
                                                                       [73]
                                                               host polymer and chemically converted graphene
                                                               as  the  filler. The  incorporation  of  graphene  into
                                                               chitosan  resulted  in  cytocompatible  matrix  with
           Figure  3.  Sketch  of  (A)  3D  bioplotting  system   enhanced mechanical, cell adhesion, and electrical
           (Reproduced with permission ) (B) digital light     properties.  In  creating  a  composite  of  two
                                       [65]
           projector (DLP) 3D printing system to 3D print      polymers, namely, poly(ethylene glycol)diacrylate
           conducting hydrogel scaffolds (Reproduced with      and  polypyrrole  digital  light  processing  3D
           permission ), and (C) stereolithography process     printing technique was combined with interfacial
                     [74]
                                                                             [74]
           (Reproduced with permission ).                      polymerization  (Figure 3B).  The  achieved
                                       [75]
                                                               composite material was electroactive and could be
                                                               drawn into complex geometry. Silica nanoparticle
           A  piezoelectric  material  deforms  on  applying   has been used as additives for many hydrogels to
           voltage or current. Thus, the orifice opening can   impart  novel  functionalities.  Odent  et  al. added
           be controlled by varying the voltage applied to the   silica  nanoparticles  to ammonium  containing
           printer head. Inkjet printing creates small droplets   PAAM  and  processed  through  SLA  machine
                                                                                                            [75]
           (sub-micron volume), which are deposited on the     (Figure 3C).  The  resulting  composite  hydrogel
           surface. Small volume of material deposition, as    was stretchable, mechanically tough and ionically
           against large material ejection through extrusion,   conducting,  and  the  enhanced  properties  were
           helps  to  print  high-resolution  constructs  and   due to addition of anion charged sulfonated silica
           scaffolds . Stereolithography (SLA) and direct-     nanoparticles.  It  was  found  that  the  stiffness  of
                   [66]
           laser  writing  (DLW)  are  light-based  techniques,   the composite hydrogel increased with increasing

                                       International Journal of Bioprinting (2020)–Volume 6, Issue 2         7
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