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Three-Dimensional Printing Technologies for Drug Delivery Applications
           Table 4. Characteristics and challenges of syringe extrusion
                    Characteristics                                     Challenges
           Method   This process prints semisolid or semi-molten materials,    The extrusion forces depend on the viscosity of
                    such as gels and pastes, through orifice by syringe plunger .  the material .
                                                                                 [16]
                                                                  [10]
                    After printing, the drying step is required [10,16] .
                    HME is the main method for creating good quality gels or
                    pastes containing APIs at room or elevated temperature .
                                                                [10]
           Material Polymers with crosslinking mechanism or shear thinning   APIs are required to be uniformly dispersed in
                    properties are preferred .                          the printing material .
                                      [16]
                                                                                        [16]
                    Syringe extrusion is the main printing technique for many
                    biocompatible materials .
                                       [16]
           Quality  The nozzle size of the syringe defines the print resolution .  The rheology of raw materials can produce
                                                                  [16]
                    To improve the properties, a post-treatment can be used, such   inconsistent extrusion patterns [10,11,16] .
                    as crosslinking .                                   The mechanical strength and durability are low .
                                                                                                           [16]
                                [16]
                                                               bottom surface of the vat resin . The use of the DMD
                                                                                         [12]
                                                               means that the UV light can cure larger areas of resin
                                                               per unit time than that seen in traditional  SLA,  while
                                                               maintaining its high dimensional accuracy (Table 7) [12,14] .
                                                               (4) Continuous liquid interface production
                                                               Similarly, to DLP, continuous liquid interface production
                                                               (CLIP) utilizes a DMD  to project digital light into the
                                                               polymer vat through an O  window, which inhibits the
                                                                                     2
                                                               cross-linking of the layer of resin closest to the window,
                                                               called the dead-zone, allowing the solidified resin not to
                                                               adhere to the window .
                                                                                 [12]
           Figure 4. Vat photopolymerization.
                                                               2.4. PBF

           (1) Stereolithography                               PBF is defined as the process in which thermal energy
                                                               selectively fuses regions of a powder bed , (Figure 5).
                                                                                                  [9]
           Stereolithography (SLA) uses a vat of UV-cross linkable   Similarly,  to  the  binder  jetting  processes  detailed  in
           polymer resin paired with a UV light source which scans   section 2.1.2, once a print layer is completed, the print bed
           along the X and Y axes of the surface of the resin in a   is lowered by a specified layer thickness, another layer
           defined geometry . A single layer of resin is cross-linked,   of powder deposited and spread through a roller, and the
                         [10]
           and  the  build  plate  lowered  a  specified  layer  thickness   next layer fused to the previous. PBF comes in two main
           between each curing layer to allow for the next layer to   forms: selective laser sintering (SLS) and selective laser
           be cured on top (Table 5) [12,16] .                 melting (SLM) [10,16] .

           (2) 2PP                                             (1) Selective laser sintering
           2PP follows a similar technique. 2PP is a non-linear   Selective laser sintering (SLS) technique uses a focused
           near infrared (NIR) light process in which two photons   layer  to selectively  scan  polymer  powder material
           are simultaneously absorbed with short laser pulses in a   slightly  below  its  melting  temperature,  while  selective
           photosensitive material. 2PP, along with DLP and CLIP   laser melting (SLM) uses a laser, which fully melts the
           in sections 2.3.3 and 2.3.4, may allow for the pre-loading   powder, fusing it to the layer below [10,14] . As SLS is mainly
           of APIs directly into the liquid prepolymer solution, but   used for polymers, it has a wide range of applications for
           may suffer from a loss of drug loaded and precision on   DDDs purposes; conversely, since SLM is mainly used
           printing (Table 6) .                                for metals,  it is not applied  for DDDs.  These similar
                          [12]
                                                               techniques  have  comparable  properties  with respect
           (3) DLP
                                                               to quality  and macroscale  resolution;  however, SLS
           DLP projects UV light onto a digital micro-mirror device   techniques are capable  of producing parts with lower
           (DMD) which projects the light waves onto the top or   layer thicknesses and higher flexibility (Table 8) [10,16] .

           326                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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