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     3D Printing Technologies in Metallic Implants
           Figure  10.  Schematic  illustration  of  material  jetting  or  multijet
           modelling (Reproduced by permission of The Royal Society
           of Chemistry) .
                      [44]
           be  used  in  two  distinctive  ways  along  with  material   Figure  11.  Schematic  representation  of  laminated  object
           melting (precise extrusion deposition , precise extrusion   manufacturing   (Reprinted   from   Laser   Additive
                                         [45]
           manufacturing ,  multiphase  jet  solidification , and   Manufacturing, Hagedorn Y, Laser additive manufacturing of
                      [46]
                                                   [47]
           fused deposition modeling ) and without material    ceramic components: Materials, processes and mechanisms,
                                   [48]
           melting (direct-write assembly , solvent-based extrusion   pp.  163-180,  Copyright  (2017),  with  permission  from
                                    [49]
                                                                      [57]
           free-forming ,  3D  bioplotting,  robocasting ,  pressure-  Elsevier) .
                     [50]
                                                [51]
           assisted  microsyringe , and low temperature deposition
                            [52]
           manufacturing) .  FDM  is  the  most  well-known  among   production price, (iii) lower fragility or higher durability,
                       [53]
           these versatile material extrusion techniques. In FDM, the   (iv) a wide range of materials with versatile mechanical
           material (usually a thermoplastic or composite) is extruded   and chemical properties can be used in LOM, and (v) no
           by special nozzle systems which consist of, for instance,   post-processing is required. Unfortunately, the z-direction
           heated and digitally controllable nozzles that can move in all   accuracy of LOM products is low.
           three directions. After the heating or melting procedure, the
           material or substance that flows through the nozzle equipped   2.7. Directed energy deposition (DED)
           with a temperature control system will rapidly solidify upon   In  DED  methods,  a  focused  energy  source  like  laser
           its first contact with the air. After the deposition of the first   and electron beam and plasma arc is utilized to melt the
           layer, the stage is lowered to continue and complete the   material, and the melted substance is deposited in the wire
           layer-by-layer formation of the 3D object [39,44] .  or in powder form through a nozzle. This method uses both
           2.6. Sheet lamination                               features of material extrusion and power bed fusion AM
                                                               processes.  Unlike  DED,  the  powder-bed  fusion  method
           The 3DP methods, similar to laminated object manufacturing   melts the material during the deposition procedure .
                                                                                                            [57]
           (LOM),  are  categorized  in  sheet  lamination  group. This   In DED technique, the nozzle head can shift in multiple
           type of method fabricates a 3D object that involves a layer-  directions  and  around  the  fixed  object  according  to  the
           by-layer  lamination  of  a  sheet  material  such  as  metal,   3D CAD model. The high-energy beam is directed to the
           plastic,  and  paper.  Initially,  the  sheet  material  which  is   desired location to melt the material which immediately
           coated with an adhesive substance is located on the stage;   solidifies  on  the  platform . After  the  deposition  of  the
                                                                                    [58]
           subsequently, the sheet is traced using a beam of laser or   initial layer, both nozzle and energy source shift upward
           a razor, and its cross-section is cut based on the 3D CAD   to enable the deposition of the next layers on the previous
           model [54,55] . Second, the excess material that is not needed   ones, and this procedure is continued and repeated until
           anymore is removed by the laser. Following this procedure,   the final 3D object is fabricated. The DED-based technique
           the  stage  is  lowered  to  deposit  the  next  layers  on  the   includes electron beam direct manufacturing, direct metal
           previous ones. Finally, these steps are repeated until a 3D   deposition (DMD), direct laser deposition, directed light
           object is made. Figure 11 shows the schematic illustration   fabrication, and laser engineered net shaping (LENS) .
                                                                                                            [58]
           of  the  LOM  process.  The  LOM-fabricated  objects   These methods have the same processing steps but do not
           have  several  benefits  compared  to  other  AM-produced   use the same energy source (type, power, and resolution),
           objects, including (i) higher resistance to deformation and   motion-control and powder delivery system, etc. Figure 12
           distortions due to  their low  internal  tensions, (ii)  lower   shows a schematic of the laser powder DED process.
           28                          International Journal of Bioprinting (2021)–Volume 7, Issue 7
     	
