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Ceramic Omnidirectional Bioprinting in Cell-Laden Suspensions for the Generation of Bone Analogs
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Bioactive Ceramic Scaffolds for Bone Tissue Engineering by Powder Bed Selective Laser Processing: A Review.

Nikhil Kamboj1, Antonia Ressler2, Irina Hussainova1

  • 1Department of Mechanical and Industrial Engineering, Tallinn University of Technology, Ehitajate Tee 5, 19086 Tallinn, Estonia.

Materials (Basel, Switzerland)
|September 28, 2021
PubMed
Summary

This review explores the use of powder bed selective laser processing (PBSLP) for creating bioactive ceramic scaffolds used in bone tissue engineering. It compares PBSLP to other fabrication methods and highlights its advantages, such as the ability to produce scaffolds without binders and with high precision. The review focuses on calcium phosphate and calcium silicate materials processed through PBSLP and discusses how these scaffolds can be functionalized with drugs and stem cells to improve bone regeneration. The study also addresses the challenges associated with PBSLP for bioactive ceramics and suggests that the technique holds promise for personalized medicine by enabling the fabrication of customized scaffolds.

Keywords:
additive manufacturingbone tissue engineeringcalcium phosphatecalcium silicateceramicscritical-sized defectsdrugslaser powder bed fusionscaffoldsselective laser meltingselective laser sintering3D printing in bone tissue engineeringbioactive scaffolds fabricationlaser powder bed fusioncalcium phosphate scaffolds

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Area of Science:

  • Biomedical materials engineering
  • Tissue engineering applications in orthopedics
  • 3D printing in regenerative medicine

Background:

Current approaches to bone tissue engineering rely heavily on scaffold-based strategies to support cell growth and tissue regeneration. While polymer and metal scaffolds have seen widespread use, bioactive ceramics offer unique advantages such as osteoconductivity and chemical similarity to natural bone. However, fabricating these ceramics with precise structural control remains a challenge. Traditional methods often require binders or post-processing steps, which can compromise material integrity. Powder bed selective laser processing (PBSLP) has emerged as a promising alternative, but its application to bioactive ceramics is less established than in metals or polymers. This gap motivated researchers to explore PBSLP’s potential for direct fabrication of bioactive scaffolds. The need for binder-free, high-resolution structures has driven investigations into PBSLP’s compatibility with calcium phosphate and calcium silicate materials. Understanding the interplay between laser parameters and ceramic powder behavior is essential for optimizing scaffold properties. This review addresses the current state of PBSLP for bioactive ceramics, focusing on its suitability for bone tissue engineering applications.

Purpose Of The Study:

The review aims to evaluate the feasibility of using powder bed selective laser processing (PBSLP) for fabricating bioactive ceramic scaffolds. It addresses the specific challenges associated with applying PBSLP to calcium phosphate and calcium silicate materials compared to metals and polymers. The goal is to assess whether PBSLP can produce scaffolds with the required structural and functional properties for bone tissue engineering. The study also seeks to clarify how PBSLP influences scaffold architecture, porosity, and mechanical performance. By examining existing literature, the review identifies the limitations and advantages of PBSLP in this context. It explores how PBSLP can be adapted to overcome the inherent difficulties of laser processing ceramics. The review also considers the role of PBSLP in enabling personalized medicine through customized scaffold fabrication. Ultimately, the purpose is to provide a comprehensive overview of PBSLP’s current and potential applications in bioactive ceramic scaffolding.

Main Methods:

The review employs a literature-based approach to analyze the application of powder bed selective laser processing (PBSLP) to bioactive ceramics. It systematically categorizes studies that investigate PBSLP for calcium phosphate and calcium silicate scaffolds. The methodology includes a detailed examination of the PBSLP process parameters, such as laser power and scan speed, and their effect on scaffold properties. The review also assesses the structural and mechanical characteristics of scaffolds produced through PBSLP. It evaluates the role of material composition in determining scaffold performance and biocompatibility. The study incorporates data on functionalization strategies, such as drug and cell incorporation, to enhance bone regeneration. The review organizes findings based on scaffold design, fabrication challenges, and clinical relevance. It synthesizes evidence from multiple sources to present a cohesive overview of PBSLP’s capabilities and limitations.

Main Results:

The review highlights that PBSLP can produce bioactive ceramic scaffolds with high precision and minimal post-processing. Calcium phosphate and calcium silicate scaffolds processed via PBSLP demonstrate suitable porosity and mechanical strength for bone tissue engineering. The absence of binders in PBSLP-fabricated scaffolds improves their biocompatibility and osteoconductive properties. Studies show that PBSLP allows for the customization of scaffold architecture to match patient-specific requirements. The review notes that PBSLP can incorporate drugs, stem cells, and growth factors directly into scaffolds during fabrication. This functionalization enhances the scaffolds’ ability to promote bone regeneration at critical-sized defects. The review also identifies that laser parameters significantly influence scaffold quality and performance. While PBSLP shows promise, the review acknowledges that further research is needed to optimize process conditions for different ceramic compositions.

Conclusions:

The review concludes that PBSLP is a viable method for fabricating bioactive ceramic scaffolds suitable for bone tissue engineering. The technique allows for the production of scaffolds with controlled architecture and porosity, which are essential for cell growth and tissue regeneration. The absence of binders in PBSLP-fabricated scaffolds is a key advantage, as it reduces the need for additional processing steps. The review emphasizes that PBSLP can be adapted to incorporate functional elements like drugs and stem cells, improving scaffold performance. However, the success of PBSLP depends on optimizing laser parameters and material composition for each application. The review suggests that PBSLP holds potential for personalized medicine by enabling the fabrication of patient-specific scaffolds. While challenges remain, the findings indicate that PBSLP is a promising avenue for advancing bioactive ceramic scaffolding in clinical settings.

The main advantage is the ability to fabricate scaffolds without binders, improving biocompatibility and reducing post-processing steps.

Calcium phosphate (CaP) and calcium silicates (CS) are commonly used due to their osteoconductive properties.

PBSLP allows precise control over scaffold architecture, enabling the creation of porosity and mechanical properties suitable for bone regeneration.

Drugs and stem cells can be incorporated during fabrication to enhance bone regeneration at critical-sized defects.

Challenges include optimizing laser parameters and material composition to achieve desired scaffold properties.

PBSLP enables the fabrication of patient-specific scaffolds with customized architecture and functionalization.