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International Journal of Bioprinting        Guide about the effects of sterilization on 3D-printed materials for medicine









































                                                Figure 1. Scheme of the present study.

            thermoplastic polyurethane (TPU)  using FDM (a ME   different 3Dprinting technologies and 11 common AM
                                        [31]
            technology);  (ii)  DentaGuide  (Asiga) ,  Dental  Surgical   materials used for the manufacture of 3D-printed surgical
                                          [32]
            Guide Material (Formlabs) [32-34]  or Clear V02 (Formlabs)   guides, anatomical models, and other customized medical
            using SLA (a VP technology) ; and (iii) MED610 using   devices. To do so, a literature review and a mechanical
                                    [35]
            MJ technology [33,34] . No data on SLS (a PBF technology)   testing study was performed. Figure 1 shows the schematic
            have been obtained regarding the effect of sterilization   of the process in this study.
            methods in terms of mechanical properties, limited to only
            3D printing accuracy . At present, no study has been   2.1. Materials
                              [36]
            performed to analyze the impact of sterilization in a wide   All materials used in this study, including the manufacturer’s
            range of materials for making surgical planning models   name, city and country of origin, are listed in Table 1.
            and surgical guides.                               2.2. 3D printing
               Therefore, the purpose of this study is to evaluate   In  this  section,  the  different  AM technologies  used  are
            the dimensional and mechanical effect of three of the   described with summaries of the printing parameters
            most commonly used sterilization techniques in clinical   needed for the manufacture of the 3D-printed samples.
            settings, i.e., Autoclave 121, Autoclave 134, and HPO,   Two types of samples were manufactured, one for hard
            on 11 of the most used 3D-printed materials using 3D   materials and the other for soft materials, with different
            printing technologies, such as FDM, SLA, SLS, and MJ. The   specimens depending on the mechanical tests to be
            goal of the present study is to contribute a practical guide   performed. 3D-printed tensile samples following the ISO
            regarding the materials which may or may not be used for   527 type IA were produced for all rigid materials. For elastic
            each medical application.                          materials, cylindrical elastic samples (16 mm diameter ×
                                                               8 mm height) were printed for Shore hardness test.
            2. Materials and methods                           2.2.1. Fused deposition modeling

            This study evaluates the effects of different sterilization   FDM is defined as the continuous deposition of a filament
            methods (Autoclave 121, Autoclave 134 and HPO) on four   over a heat plate layer-by-layer. The PLA, ABS and TPU


            Volume 9 Issue 5 (2023)                        147                         https://doi.org/10.18063/ijb.756
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