Page 87 - IJB-6-2
P. 87

Kolan, et al.
           glass and consequently, it degrades at a faster rate   repair diverse regions of the skeletal system with
           which allows quick release of calcium, boron, and   different structural and biological requirements.
           other ionic dissolution products and provides rapid   The  effect  of  scaffold  architecture  on
           HA formation . Hence, in this study, biomimetic     mechanical properties, cell proliferation, and bone
                        [7]
           borate glass scaffolds for bone regeneration in rat   regeneration has been investigated using polymer
           calvarial defects were fabricated and characterized   and metallic scaffolds [23-26] . There are inconclusive
           in  terms  of  material  composition,  porosity,    reports  on  the  influence  of  pore  size  on  bone
           architecture, and mechanical properties.            regeneration. While some reports suggested pore
             Among  different  additive  manufacturing         sizes in the range of 100 – 300 µm are beneficial
           (AM)  techniques,  the  powder  bed  fusion  and    for  bone  growth,  other  studies  demonstrated
           vat  photopolymerization  techniques  enable        increase bone tissue growth with pores >300 µm
           the  fabrication  of  complex  lattice  structures   and up to 800 µm [27,28] . Some of these studies were
           mimicking  natural  bone  architectures,  which     performed using bioceramic scaffolds and others
           is  much  more  difficult  to  achieve  with  material   were  performed  on  biopolymer  and  metallic
           extrusion techniques [8-10] . Thus, laser powder bed   (titanium-based)  scaffolds  that  do  not  degrade
           fusion  processes  like  selective  laser  sintering   like bioactive glass. Bone repair using scaffolds
           (SLS)  can  be  used  to  create  scaffolds  with   made from resorbable materials such as bioactive
           different architectures to study the effects of pore   glasses is likely to have distinct characteristics as
           shape  on  the  mechanical  properties  of  scaffolds   the  scaffold  properties  change  post-implantation
           and  their  associated  bone  regenerative  capacity.   in the dynamic in vivo environment. For example,
           Several methods were proposed to create scaffold    silicate-based  glasses  degrade  slowly  even  in
           CAD models that possess a gradient of porosity,     vivo because of the chemical stability of the SiO
           conformity, and architectures that closely mimic    network. A recent in vivo evaluation of silicate- 2
           human  trabecular  bone [11-16] .  Several  challenges   based glass scaffolds showed that about half of the
           exist in the powder bed fusion-based 3D printing    scaffold (unconverted glass) still remained in the
           of ceramic/glass scaffolds with complex pores of    defect region after 6 months . However, borate
                                                                                           [29]
           size ranging from 100 to 600 µm because of the      glass fibers used to treat a calvarial defect were
           ceramic/glass  material  properties  and  sintering   reported to degrade more quickly, with most of the
           requirements . In the recent past, there has been   glass converted to HA and resulting in better bone
                       [17]
           interested in the fabrication of ceramic and glass   regeneration in comparison to silicate glasses .
                                                                                                          [30]
           structures using the selective laser melting process   The  scaffold  architecture  could  also  play
           with  the  help  of  high-temperature  preheating  of   an important role in  in vitro  cell  proliferation,
           substrate [18-20] .  Nevertheless,  an  indirect  method   differentiation,  and  bone  regeneration,  with
           that involves additional post-processing after green   some  studies  suggesting  pore  curvature  driven
           part  fabrication  allows  for  controlled  structural   tissue  growth [24,31-33] .  Although  these  in  vitro
           densification  avoiding  glass  crystallization [21,22] .   observations were, in general, in agreement with
           Unlike metallic scaffolds, bioactive glass scaffolds   theoretical predictions, the influence of curvature
           degrade upon implantation in vivo or after soaking   on tissue regeneration has not been demonstrated
           in simulated body fluids (SBF), thereby affecting   in vivo. Pore geometry, pore size, and porosity are
           their  structural  integrity.  Factors  that  influence   interrelated.  Importantly,  the  resorbable  nature
           this  outcome  include,  but  are  not  limited  to,   of  borate  glass  could  further  complicate  the
           bioactive  glass  composition,  scaffold  porosity,   mechanism  of  the  bone  regeneration  process  in
           and pore geometry (which affects surface area for   vivo, relative to more predictable bone formation
           reaction).  Therefore,  investigating  the  effect  of   in metallic, or biopolymer scaffolds.
           porosity and pore geometry on the degradation of      In  the  present  study,  we  hypothesized  that  a
           scaffolds made with bioresorbable materials, such   borate glass scaffold with biomimetic architecture
           as bioactive glasses, could help design implants to   would  have  sufficient  strength  and  stiffness  for

                                       International Journal of Bioprinting (2020)–Volume 6, Issue 2        83
   82   83   84   85   86   87   88   89   90   91   92