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Materials Science in Additive Manufacturing                           Hydrogels in mandibular reconstruction



            through innovative incorporation of high-concentration   extrusion printing  (Figure  6B-D). These three printing
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            β-tricalcium phosphate (β-TCP). Their research revealed   techniques can also effectively print hydrogels of desired
            that positive charges on  β-TCP particles form dense   shapes or structures using other mixed materials,
            electrostatic networks with negative charge groups in   including cells, growth factors, and more. A  variety of
            the chitosan/collagen matrix, significantly enhancing   hydrogel materials – such as gelatin, collagen, alginate,
            interpolymer chain cohesion and delaying hydrogel   and PEG diacrylate – are commonly utilized in the
            swelling/degradation.                              development of laser-assisted 3D-printed scaffolds. 69,70

              Hydrogel   degradation  characteristics  directly  This printing technology allows for the precise production
            determine  bone  regeneration  efficiency.  Given  the   of complex 3D structures based on computer-aided design
            accelerated remodeling of mandible,  hydrogels require   and computer-aided manufacturing models, printing the
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            faster degradation rates to accommodate osteogenesis   desired hydrogel scaffolds with micrometer-level resolution
                                                                                                    67,71
            needs.  Excessive  degradation  risks  premature  scaffold   while effectively avoiding damage to the cells.   Gruene
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            collapse and loss of structural support, while insufficient   et al.  used alginate hydrogel-coated donor strips for the
                                                               laser printing of mesenchymal stem cells and confirmed
            degradation impedes bone ingrowth and delays healing.
            Ideal degradable hydrogels achieve precise degradation   that the laser printing technology can effectively reduce
            rate control through optimized crosslinking density,   cell damage during the printing process, which is crucial
            natural/synthetic polymer composites, or responsiveness   for cell viability and subsequent tissue regeneration. The
            to external stimuli (enzymatic action, pH), thereby   printed bone grafts demonstrated good osteogenic and
                                                               chondrogenic differentiation  in vivo, which proves the
            creating spatial accommodation for new bone formation
            during degradation.                                effectiveness of this technology in bone and cartilage tissue
                                                               engineering. Inkjet printing technology can precisely
            3.3. Three-dimensional bioprinted hydrogels        construct customized bone repair implants by layer-by-
                                                               layer deposition of biomaterials. This technology is suitable
            The optimal scaffold mimics the structural and biochemical   for both on-demand and continuous jetting systems, where
            properties of natural bone, delivering nutrients to grafted   liquid biomaterials are jetted layer by layer onto a substrate
            cells, releasing bioactive signaling molecules, and allowing   for 3D-printing hydrogel-based scaffolds. Inkjet-based
            for vascularized tubular structures. These advantages can   printing methods offer excellent precision and resolution
            positively impact the success of bone grafts. However,   (50 – 500 µm) for manufacturing complex 3D structures.
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            constructing a vascularized structure that simulates   In thermosensitive inkjet  printers,  acrylated PEG  can
            natural tissue remains a major challenge. Thus, advanced   be  combined  with  acrylated  peptides   or  GelMA,
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            micropatterning methods  –  such  as  3D  printing –  have   enabling the fabrication of hydrogel-based scaffolds
            emerged, enabling the design of 3D frameworks that boost   through in situ photopolymerization during the printing
            blood vessel formation while maintaining optimal porosity   procedure. Human mesenchymal stem cells (hMSCs) have
            to support cellular integration and growth. 66,67  Through 3D   been  encapsulated within these hydrogels  and directly
            bioprinting technology, it is possible to precisely construct   printed alongside them, resulting in enhanced capabilities
            hydrogel scaffolds that match the anatomical structure of   for osteogenic (bone-forming) and chondrogenic
            a patient’s mandible. These scaffolds can be loaded with   (cartilage-forming)  differentiation.  Extrusion-driven  3D
            osteogenic  cells  and  growth  factors,  providing  an  ideal   bioprinting is commonly employed in tissue engineering
            microenvironment for bone tissue regeneration (Figure 6A).   and regenerative medicine due to its adaptability with
            When these 3D-bioprinted hydrogel scaffolds are implanted   diverse biomaterials and crosslinking approaches. This
            into mandibular defect sites, they can promote the   technology is particularly suitable for shear-thinning
            regeneration and vascularization of bone tissue, effectively   materials, such as alginate, PEG-based hybrid hydrogels,
            restoring the structure and function of the mandible. The   and GelMA  hybrids. 75,76  In  bone and cartilage  tissue
            porous structure  and high  water  content  of  the  hydrogel   engineering, alginate, polycaprolactone, and GelMA are
            facilitate the exchange of nutrients and waste, further   the main materials for extrusion bioprinting.  Extrusion
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            promoting cell growth and differentiation. In addition,   bioprinting is regarded as viable for fabricating hydrogels
            3D bioprinting technology allows for the personalized   that incorporate alginate or Lutrol F127 (a poly(ethylene
            customization of hydrogel scaffolds tailored to the specific   oxide)-poly(propylene oxide) copolymer) alongside
            mandibular defect  of  each  patient,  based on  their facial   BMSCs, maintaining compatibility and functionality in
            anatomical data, thereby achieving personalized treatment.
                                                               bioprinting applications. Cells printed through extrusion
              3D printing technologies used for various hydrogel   bioprinting not only remain viable throughout the process
            applications include laser printing, inkjet printing, and   but also express osteogenic markers such as alkaline


            Volume 4 Issue 2 (2025)                         11                        doi: 10.36922/MSAM025070006
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