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Three-Dimensional Printing Technologies for Drug Delivery Applications
           Table 1. Characteristics and challenges of MJ
                    Characteristics                                     Challenges
           Method   Droplets of ink are deposited from the nozzle into thin layers,   In some cases, MJ needs support structure .
                                                                                                          [14]
                    then cured with cooling air and in the presence of high-energy  It is necessary to perform a post-processing for
                    light, such as ultraviolet (UV) .                   removing the support structure .
                                            [10]
                                                                                                 [15]
                    The droplet flight path, droplet impact, and surface wetting can
                    change the geometry of the product .
                                                [11]
                    MJ can tune the drug composition during the printing process .
                                                                    [12]
                    MJ can work with thermal or piezoelectric nozzle .
                                                            [13]
           Material MJ works with melted polymers and waxes, UV curable resins,  The viscosity can affect the optimization
                    solutions, suspensions, and complex multicomponent fluids . requirement .
                                                                                  [12]
                                                                    [11]
                    MJ used waxes as the first materials .              The materials are photosensitive (e.g., sensitive
                                                 [10]
                    This process can use photosensitive polymers but requires   to daylight), and the mechanical properties
                    further processing to remove the photoinitiator .   degrade over time .
                                                                                      [14]
                                                         [10]
                    This process can use multimaterials and full color .
                                                            [10]
           Quality  The quality and the curing method depend on material   The final product has poor mechanical
                    properties .                                        properties .
                            [10]
                                                                                [14]
                    The final product has homogeneous mechanical and thermal
                    properties .
                            [14]
           MJ: Material jetting, UV: Ultraviolet
           Table 2. Characteristics and challenges of binder jetting (BJ)
                    Characteristics                                 Challenges
           Method   Droplets of liquid binder bind the particles of the powder  Pre-processing of the powdered materials is
                    bed layer [10-12] .                            necessary to ensure proper distribution of the
                    The drug can be found in the ink or in the powder bed .  particle size and flow capacity of the powder for
                                                               [10]
                    BJ is a simple, versatile, low-cost and high-speed process  uniform filling of the power bed .
                                                                                             [16]
                    that provides the personalized drug delivery system as   Clogging of the print head can occur during printing
                    well as customizing the composition and properties of   of non-homogeneous binder solutions [11,16] .
                    drug-eluting implants [11,16] .                The porosity of products is poorly controllable .
                                                                                                         [16]
                    The physicochemical properties of the dosage forms, and  One risk in the process is the inconsistency or less
                    the drug-release profiles could be adjusted using different  homogeneity between the layers, which can be
                    polymers and/or ratios between the bulk material, API (s),  controlled by mediating the temperature and drying
                    binding agents, and other excipients .         time between layers or jetting rate [11,16] .
                                                [16]
           Material The process works with ambient temperature that is   The availability of suitable non-toxic solvents to
                    suitable for thermolabile drugs and excipients .   increase the capacity of the binder solution is limited .
                                                        [16]
                                                                                                           [16]
           Quality  BJ has lower printing resolution and poorer surface   This could be improved by the additional
                    quality that can result in imprecise printing and   post-processing .
                                                                                [16]
                    low dimensional tolerance, compared to other AM
                    processes [11,16] .
           2.2. Material extrusion                             (1) HME
           Arguably the most  recognized process of  3D  printing,   HME ejects  semi-molten  material  from the  nozzle  tip;
           extrusion-based  technologies  can  be  defined  as  the   however, it additionally  incorporates heated screws,
           process in which material is selectively dispensed   which melt,  mix and eject the  polymer  from the
           through  a  nozzle  or  orifice . Extrusion-based printing   nozzle . This technique is regularly used for gels and
                                                                    [16]
                                  [9]
           can be split into three key categories: hot melt extrusion   pastes containing APIs at room or elevated temperatures,
           (HME),  filament  extrusion,  and  syringe  extrusion.   allowing for solid dispersions to be printed . Where
                                                                                                      [7]
           In all three techniques, the material undergoes a   filament extrusion requires impregnation of the filament
           change in physical state between ejection from the   with an API prior to printing, HME offers the addition
           nozzle  and  solidification  upon  the  substrate  either  by   of the API in the melting stage, whereby it either melts
           cooling or solvent evaporation, with printing processes   alongside the polymer, dissolves within it, or disperses
           (Figure 3) [10,12] .                                across the polymer mix .
                                                                                  [17]
           324                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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