Biocompatible Resin Research Articles

3D printed customized facemask for early treatment of Class III malocclusion: a two-center case series feasibility study.

This prospective two-center case series feasibility study aimed to investigate the potential of a novel maxillary protraction facemask customized to the patients' anatomy recorded with 3D face scanning and then produced by digital design and additive manufacturing. Ten subjects (5 females and 5 males, average age 7.7±1.0 years) with Class III malocclusion were treated with a rapid maxillary expander (RME) and a Petit-type facemask (FM), whose components were digitally designed on a 3D scan of the patient's face. Subjects' face scans were obtained either with a tablet or with face scanner. FM components were modelled with a 3D software. The pads were 3D printed in biocompatible resin, and the bar was printed in stainless steel. A questionnaire investigating the patients' experience was filled in after the first week of treatment and after 3, 6, and 9 months. The customized FM showed an excellent adaptation to the anatomy of the face. No severe complications were reported during the 9 months of appliance wearing. Some reversible episodes of skin irritation were reported below the pads, mainly in the chin area. The reported time wearing ranged between 8.2±2.3 and 9.5±1.2 hours per day, mainly at night. Reported pain was overall low (maximum after 1 week with an average value of 1.9±1.7 on a visual analog scale [VAS] 0-10) and patients' satisfaction was adequate at the end of the facemask wear after 9 months (8.7±1.4 on a VAS 0-10). The customized FM was overall well accepted by the patients and represents a valid alternative to conventional ones.

Open-chest cardiac ultrasound-mediated imaging with a vacuum coupler.

A fundamental obstacle for the preclinical development of ultrasound-(US) mediated cardiac imaging remains cardiac motion, which limits interframe correlation during extended acquisition periods. To address this need, we present the design and implementation of a 3D-printed vacuum coupler that stabilizes a US transducer on the epicardial surface of the heart for feasibility assessment and development of advanced, cardiac, US-mediated imaging approaches. The vacuum coupler was 3D printed with biocompatible resins and secured with a standard intraoperative suction aspirator. US-mediated imaging (i.e., B-mode and photoacoustic [PA] imaging) was performed in an open-chest porcine model with and without the vacuum coupler. Based on inter-frame displacement tracking and cross-correlation (CC) coefficients, changes in frame motion and stability were compared for each imaging mode/configuration through a prolonged (∼1min) acquisition, while the impact on PA-based SO2 accuracy was assessed. When compared to conventional handheld imaging, stand-off imaging, and coupler without suction, epicardial imaging with the vacuum coupler and suction applied led to a significantly reduced mean axial displacement of 0.15 mm versus 0.89, 0.49, & 0.49 mm, respectively (p-values≤8.65e-7). Comparing the coupler without suction to that with suction applied, physiologically unrealistic SO2 estimates reduced from 1.72 to 0.81%, respectively, and lateral interframe displacement reduced from 4.58 to 2.01mm, respectively (p-value=5.07e-23). Overall,reduced cardiac tissue motion and increased interframe CC coefficient (baseline=0.43vs. coupler with suction=0.80) allow for more accurate PA unmixing. Epicardial US-mediated imaging with a vacuum coupler reduces cardiac motion artifact, providing a consistent sampling of an intended region of interest (ROI) over multiple cardiac cycles. This could help facilitate the development of advanced US-mediated imaging, which is often hindered by cardiac motion. Stable implementation of these imaging techniques could allow for intra-operative assessments of local cardiac perfusion as well as tissue characterization.

Influence of the post-processing protocol on a biocompatible 3D-printed resin.

This study aimed to evaluate the cytotoxicity of a biocompatible 3D-printed resin material for occlusal devices after post-processing with two different high-intensity UV-polymerization devices and two rinsing solvents, in the presence of human gingival fibroblasts (HGFs). Sample discs from the 3D-printed resin material were printed (2 mm in height and 6mm in diameter [N = 40]) and divided into 4 groups (n = 10) based on post-processing methods: a high-intensity UV polymerization device with isopropyl alcohol, a high-intensity UV polymerization device with a modified glycol solvent, a UV cleaning and curing unit with isopropyl alcohol, a UV cleaning and curing unit with a modified glycol solvent, and a control group cultured in DMEM medium. Different tests were performed to evaluate their cytocompatibility on HGFs: MTT assay, cell migration assay, cell cytoskeleton staining, scanning electron microscopy (SEM), and cell apoptosis and generation of intracellular reactive oxygen species (ROS). Statistical analyses were performed using one-way ANOVA and the Tukey post hoc test (α = 0.05). Cytocompatibility, MTT assay, cell migration assay, cell cytoskeleton staining, and SEM images were similar, regardless of the post-processing protocol, compared with the control group. No differences were found in the cytotoxicity of the 3D-printed resin material for occlusal devices after the following post-processing methods: two different UV-polymerization devices and two rinsing solvents (isopropyl alcohol and a modified glycol solvent).

The new additive era of orthodontics: 3D-printed aligners and shape memory polymers—the latest trend—and their environmental implications

The era of printed aligners has just began in the orthodontic field. Orthodontists have become more interested in 3D-printed in-office aligners. Treatment due to this technology can become faster and more efficient. Advantages highlighted by newly introduced materials for manufacturing processes of 3D aligners present the possibility of overcoming limitations faced by thermoformed aligners, making them a potential replacement of thermoformed aligner. Advances in aligner material, especially shape memory polymers, have the potential to bring about radical transformations in the clinical applications of clear aligner therapy. Safety and cytotoxicity of printable resins along with its mechanical properties must be scientifically studied extensively before it is cleared for clinical use. In addition, with the increased use of aligners, awareness of the environmental burden of plastic waste should be emphasized. Attention should be directed into the development of recyclable materials for aligners along with establishing clear recycling guidelines and patient education programs on proper recycling methods. With the introduction of Graphy’s clear biocompatible photocurable resin, which is equipped with a shape–memory function and is printed in an environmental friendly way by reducing carbon emissions. Direct 3D printing represents the future of clear aligner therapy, and more studies to test these new technologies and materials are required.

Biocompatible PVAc-g-PLLA Acrylate Polymers for DLP 3D Printing with Tunable Mechanical Properties.

The technological advancement of Additive Manufacturing has enabled the fabrication of various customized artifacts and devices, which has prompted a huge demand for multimaterials that can cater to stringent mechanical, chemical, and other functional property requirements. Photocurable formulations that are widely used for Digital Light Processing (DLP)/Stereolithography (SLA) 3D printing applications are now expected to meet these new challenges of hard and soft or stretchable structural requirements in addition to good resolution in multiple scales. Here we present a biocompatible photocurable resin formulation with tunable mechanical properties that can produce hard or stretchable elastomeric 3D printed materials in a graded manner. Acrylate poly(lactic acid) (PLA) grafted polyvinyl acetate (PVAc) polymer was mixed with hydroxyl ethyl methacrylate (HEMA) and hydroxyl ethyl acrylate (HEA) as reactive diluents (50-70 wt %) in various compositions to form a series of photocurable resin formulations. Depending on the nature of the reactive diluent (HEMA or HEA) and their weight percentage, the mechanical properties of the 3D printed parts could be fine-tuned from hard (Tensile strength 20.6 ± 2 MPa, elongation 2 ± 1%) to soft (Tensile strength 1.1 ± 0.2 MPa, elongation 62 ± 8%) materials. The printed materials displayed remarkable dye absorption (95%), showing stimuli-responsive behavior for dye release (with respect to both pH and enzyme), while also demonstrating high cell viability (>90%) for mouse embryonic (WT-MEF) cells and degradability in PBS solution. These biobased 3D printing resins have the potential for a variety of applications, including tissue engineering, soft robotics, dye absorption, and elastomeric actuators.

Full-Thickness Perfused Skin-on-a-Chip with In Vivo-Like Drug Response for Drug and Cosmetics Testing.

In this study, we present a novel 3D perfused skin-on-a-chip model fabricated using micro-precision 3D printing, which offers a streamlined and reproducible approach for incorporating perfusion. Perfused skin models are well-regarded for their advantages, such as improved nutrient supply, enhanced barrier function, and prolonged tissue viability. However, current models often require complex setups, such as self-assembled endothelial cells or sacrificial rods, which are prone to variability and time-consuming. Our model uses projection micro-stereolithography 3D printing to create precise microcapillary-like channels using a biocompatible resin, overcoming the drug-absorbing properties of PDMS. A customized chip holder allows for the simultaneous culture of six perfused chips, enabling high-throughput testing. The engineered skin-on-a-chip features distinct dermis and epidermis layers, confirmed via H&E staining and immunostaining. To evaluate drug screening capabilities, inflammation was induced using TNF-α and treated with dexamethasone, with cytokine levels compared to 2D cultures and human skin biopsies. Our 3D model exhibited drug response trends similar to human skin, while showing reduced cytotoxicity over time compared to biopsies. This perfused skin-on-a-chip provides a reliable, physiologically relevant alternative for drug and cosmetics screening, simplifying perfusion setup while preserving key benefits.

Development and evaluation of biocompatible coated microneedle array for controlled insulin delivery: Fabrication, characterization, in vitro, and in vivo investigations

Traditional insulin administration for people with diabetes often involves painful injections, leading to discomfort and challenges with patient compliance. A promising alternative to these conventional methods is transdermal insulin delivery using microneedle arrays, which offer a more comfortable way to deliver insulin through the skin. This study introduces an innovative approach using 3D-printed microneedle arrays coated with insulin via a dip-coating process. These microneedles present a compelling alternative to traditional injections, particularly due to their ability to gently pierce the stratum corneum, the outermost layer of skin, while minimizing discomfort. The microneedle arrays were fabricated using biocompatible resin polymers through 3D printing, creating solid conical needles with a length of 1200 µm, a base diameter of 200 µm, a tip diameter of 80 µm, and a needle spacing of 1.2 mm. The insulin coating was achieved by dip-coating the microneedles in a solution of insulin and polyvinyl alcohol (PVA), with careful optimization of the solution concentration, immersion time, and withdrawal speed to ensure a uniform and controlled coating thickness. Mechanical stability and skin penetration capabilities of the microneedles were assessed using skin models such as parafilm and porcine skin. The tests confirmed that the coated microneedles are robust enough to consistently penetrate the skin. In vivo studies with diabetic rats were conducted to evaluate skin irritation, penetration, and drug delivery efficiency. The insulin-coated microneedle arrays successfully penetrated the skin and delivered the drug with approximately 90 % efficiency. The study also showed that the microneedles provided consistent drug delivery, and the skin recovered without any signs of injury. Additionally, the hypoglycemic effect of the insulin-coated microneedles was comparable to that of traditional subcutaneous insulin injections. These findings underscore the potential of microneedle arrays as a painless and effective method for insulin delivery, maintaining stable glucose levels over an extended period. The demonstrated safety and efficacy of the coated microneedles open the door for clinical trials and potential use in diabetic patients, offering a promising advancement in diabetes management.

Inertial microfluidic mixer for biological CubeSat missions

Nanosatellites of CubeSat type due to, i.a., minimized costs of space missions, as well as the potential large application area, have become a significant part of the space economy sector recently. The opportunity to apply miniaturized microsystem (MEMS) tools in satellite space missions further accelerates both the space and the MEMS markets, which in the coming years are considered to become inseparable. As a response to the aforementioned perspectives, this paper presents a microfluidic mixer system for biological research to be conducted onboard CubeSat nanosatellites. As a high complexity of the space systems is not desired due to the need for failure-free and remotely controlled operation, the principal concept of the work was to design an entirely passive micromixer, based on lab-on-chip technologies. For the first time, the microfluidic mixer that uses inertial force generated by rocket engines during launch to the orbit is proposed to provide an appropriate mixing of liquid samples. Such a solution not only saves the space occupied by standard pumping systems, but also reduces the energy requirements, ultimately minimizing the number of battery modules and the whole CubeSat size. The structures of the microfluidic mixers were fabricated entirely out of biocompatible resins using MultiJet 3D printing technology. To verify the functionality of the passive mixing system, optical detection consisting of the array of blue LEDs and phototransistors was applied successfully. The performance of the device was tested utilizing an experimental rocket, as a part of the Spaceport America Cup 2023 competition.Graphical abstract

Radioprotection Performance Evaluation of 3D-Printed and Conventional Heat-Cured Dental Resins for Radiotherapy Prostheses.

3D printing is increasingly used in dentistry, with biocompatible resins playing a key role. This study compared the radioprotective properties of a commonly used 3D-printed resin (Formlabs surgical guide resin) with traditional heat-cured resin and examined the relationship between material thickness and radiation attenuation. The specimens consisted of 3D-printed and heat-cured resin specimens, each measuring 45 × 45 mm2, with five different thicknesses (6, 8, 10, 12, and 14 mm), totaling 100 samples. Both types of resin specimens underwent testing with 150 MU external beam radiation therapy (EBRT) and 400 cGy brachytherapy. Radiation experiments indicated that under EBRT conditions, there were no significant differences in radiation attenuation between the 3D-printed and heat-cured resins across all thickness groups. In brachytherapy, the attenuation of the 3D-printed resin was significantly lower than the heat-cured resin in the 6 mm and 8 mm groups. Specifically, attenuation rates were 48.0 ± 0.7 (3D-printed) vs. 45.2 ± 1.9 (heat-cured) in the 6 mm group, and 39.6 ± 1.3 vs. 37.5 ± 1.1 in the 8 mm group. Both resins showed significant positive linear correlations between thickness and attenuation (p < 0.001) within 6-14 mm. Thus, 3D-printed resin shows promising radioprotective properties and is a viable alternative to traditional heat-cured resin.

In-house manufactured 3D guides for the localization and treatment of mandibular lesions. Workflow and case series

The anatomical location of certain lesions can be a difficulty when locating them intraoperatively. The use of surgical navigation allows anatomical structures to be located with great precision. However, there are technical difficulties with its use in mandibular surgery. Three-dimensional (3D) printing has established itself as a definitive tool in the generation of biomodels for diagnosis and treatment as well as implantable devices. Some applications, little explored today, have to do with the use of 3D-printed devices for the localization of hard-to-reach lesions. To determine the position of mandibular bone lesions, we propose using 3D printed localization guides manufactured “in-house,” using freely licensed design programs (software) to design them, and made of biocompatible resins. This improves surgical precision and reduces morbidity from the intervention. 3D planning models are shown and segmented using open-source software (3D Slicer) using imported conventional computed tomography data. Digital component modification is possible with free software (Autodesk Meshmixer) to arrange precise osteotomy cuts for lesion localization. With the help of customized cutting guides, intraoperative placement is precise. These are created utilizing a fused filament manufacturing 3D printer and polylactic acid. Three localization guides were successfully completed, resulting in improved surgical accuracy and reduced surgical morbidity. The use of 3D surgical guides in cases of mandibular lesions in difficult or delicate locations saves the need for navigation, requires less surgical time, does not require splints or reference stars.

A novel 3D-printed brachytherapy applicator and Monte Carlo model for the treatment of conjunctival tumors

PurposeTo develop a custom low dose rate brachytherapy applicator for the treatment of conjunctival malignancies which leverages 3D-printing technology to provide enhanced design flexibility and availability. MethodsAn elliptical shell applicator inspired by the ocular surgery post-operation conformer shells was developed for the placement of the applicator around the cornea of the eye, with a central hole provide patient comfort. The applicator featured two concentric circles of slots for iodine-125 seeds, providing customization of the dose distribution depending on the location of the target. The applicator was modeled using computer-aided design software. The resultant model STL file was used for 3D printing of the applicator and the development of a Monte Carlo model of the applicator and its dose distribution. ResultsThe applicator was successfully 3D printed using biocompatible resin, which could be sterilized for treatment after manual source loading. A Geant4 model of the applicator was created directly from the STL model and was applied to a phantom to estimate the dose distribution delivered by the applicator. The toroidal dose distribution allowed for treatment of the conjunctiva while reducing dose to the cornea compared to traditional eye plaque designs. ConclusionsA custom 3D-printed applicator was successfully developed and modeled for the treatment of conjunctival malignancies. This novel applicator design potentially provides higher quality, more customizable dose distributions for patients and the simplicity of the design makes it accessible for any clinic with 3D-printing technology.

Are physical and mechanical properties of 3D resins dependent on the manufacturing method?

This research analyzed the effect of the manufacturing method on the flexural strength and color stability of 3D-printed resins used for producing indirect restorations. For this, two dental restorative biocompatible resin materials, OnX (OnX, SprintRay) and CB (Crown and Bridge, Dentca), were divided into 2 groups according with manufacturing method (printed with a Pro95 3D printer - SprintRay; and not printed, with samples obtained with the fluid resin being poured on PVS molds for further light activation in the post-curing process), and subdivided into 2 groups according to the post-curing method: VG (Valo Grand, Ultradent Products) for 120s and PC (Procure 2, SprintRay). Bar-shaped samples were used to evaluate the flexural strength 24h after storage in distilled water at 37°C using a universal testing machine. Disk-shaped samples were used to evaluate the color stability with a spectrophotometer at baseline, after 1-7days in dark dry storage at 37°C, and after 1day of artificial aging in water at 60°C. Data were evaluated using 3-way ANOVA (flexural strength) and 4-way repeated measures ANOVA (color stability), followed by the Tukey's HSD test (α = .05). Flexural strength showed significant results for resin (p < .001), while manufacturing and post-curing methods were not significant (p > .05). The interaction effects between resin and manufacturing method (p = .978), and between resin, manufacturing method and post-curing method (p = .659) were not significant. In general, OnX showed higher flexural strength values than CB, regardless of manufacturing method or post-curing protocol. Color stability results showed significant results for resin (p < .001), time (p < .001), resin and time (p = .029), and resin and curing method (p < .001), but no differences considering resin and manufacturing mode (p = .87), or resin, manufacturing method and curing method (p = .35). In general, OnX showed a higher color change than CB, longer storage times resulted in increased color change for both materials, and CB cured with VG showed lower color alteration than CB cured with PC2. The manufacturing method (3D printed or not 3D printed) does not seem to influence the flexural strength and color stability of 3D printed resins. This may indicate that, at least from a physical-mechanical perspective, the final properties of the material are mainly dependent on the post-curing process.

Development of a biocompatible 3D hydrogel scaffold using continuous liquid interface production for the delivery of cell therapies to treat recurrent glioblastoma.

Glioblastoma (GBM) is the most common primary malignant brain tumor diagnosed in adults, carrying with it an extremely poor prognosis and limited options for effective treatment. Various cell therapies have emerged as promising candidates for GBM treatment but fail in the clinic due to poor tumor trafficking, poor transplantation efficiency, and high systemic toxicity. In this study, we design, characterize, and test a 3D-printed cell delivery platform that can enhance the survival of therapeutic cells implanted in the GBM resection cavity. Using continuous liquid interface production (CLIP) to generate a biocompatible 3D hydrogel, we demonstrate that we can effectively seed neural stem cells (NSCs) onto the surface of the hydrogel, and that the cells can proliferate to high densities when cultured for 14 days in vitro. We show that NSCs seeded on CLIP scaffolds persist longer than freely injected cells in vivo, proliferating to 20% higher than their original density in 6 days after implantation. Finally, we demonstrate that therapeutic fibroblasts seeded on CLIP more effectively suppress tumor growth and extend survival in a mouse model of LN229 GBM resection compared to the scaffold or therapeutic cells alone. These promising results demonstrate the potential to leverage CLIP to design hydrogels with various features to control the delivery of different types of cell therapies. Future work will include a more thorough evaluation of the immunological response to the material and improvement of the printing resolution for biocompatible aqueous resins.

Prospects for 3D-printing of clear aligners—a narrative review

Clear aligner therapy is a rapidly developing orthodontic treatment. 3D-printing technology, which enables the creation of complex geometric structures with high precision, has been used in dentistry. This article aims to summarize the various aspects of 3D-printing clear aligners and give an outlook on their future development. The traditional thermoforming technology is introduced and the principle and application of 3D-printed clear aligners and materials are introduced, as well as the application prospects of 3D-printed clear aligners. According to PRISMA statement, the relevant literature of 3D-printing clear aligner was searched in PubMed, Web of Science, Embase and other databases. We searched the related words in the MESH database and then carried out advanced searches. We read systematic review and conference papers to find the articles related to the subject and manually added and excluded articles by reading the title and abstract. The production of clear aligners combines computer-aided 3D analysis, personalized design and digital molding technology. The thickness and edges of the 3D-printed clear aligner can be digitally controlled, which allows appliance more efficiently fitted. Presently, the array of clear resins suitable for 3D-printing include photo polymeric clear methacrylate-based resin (Dental LT) (Form Labs, Somerville, Mass), aliphatic vinyl ester-polyurethane polymer (Tera Harz TC-85) (Graphy, Seoul, South Korea). They all have good biocompatibility. But no such material is currently approved on the market. Developing biocompatible resins and further improving the material’s mechanical properties will be critical for the combination of 3D-printing and clear aligners. However, the literature on 3D-printed clear aligners is limited and lacks clinical application. Further in vivo and in vitro tests, as well as additional exploration in conjunction with corresponding cytological tests, are required for the research on available materials and machinery for 3D-printing clear aligners.

Microfluidic Interfaces for Chronic Bidirectional Access to the Brain.

Two-photon polymerization (TPP) is an additive manufacturing technique with micron-scale resolution that is rapidly gaining ground for a range of biomedical applications. TPP is particularly attractive for the creation of microscopic three-dimensional structures in biocompatible and noncytotoxic resins. Here, TPP is used to develop microfluidic interfaces which provide chronic fluidic access to the brain of preclinical research models. These microcatheters can be used for either convection-enhanced delivery (CED) or for the repeated collection of liquid biopsies. In a brain phantom, infusions with the micronozzle result in more localized distribution clouds and lower backflow compared to a control catheter. In mice, the delivery interface enables faster, more precise, and physiologically less disruptive fluid injections. A second microcatheter design enables repeated, longitudinal sampling of cerebrospinal fluid (CSF) over time periods as long as 250 days. Moreover, further in vivo studies demonstrate that the blood-CSF barrier is intact after chronic implantation of the sampling interface and that samples are suitable for downstream molecular analysis for the identification of nucleic acid- or peptide-based biomarkers. Ultimately, the versatility of this fabrication technique implies a great translational potential for simultaneous drug delivery and biomarker tracking in a range of human neurological diseases.

Effects of post-curing duration on the mechanical properties of complex 3D printed geometrical parts

This study aims to assess the efficacy of post-curing guidance supplied by 3D printing resin manufacturers. Current guidance applies generically to all geometries with the caveat that post-curing should be extended for ‘large’ or ‘complex’ geometries but specific guidance is not provided.Two vat-polymerisation 3D printers (Form3B, Figure 4 Standalone) were used to print test models in 6 biocompatible resins (Pro Black, Med White, Med Amber, Biomed Black, Biomed White, Biomed Amber). The test model is of a complex geometry whilst also housing ISO 527 test specimens in concentric layers. Two separate intervals of curing were applied (100%, 500% stated guidance) creating different curing treatments of the specimens throughout the model. Post processed test models were disassembled and pull testing performed on each of the specimens to assess the mechanical properties.The analysis showed that extending the curing duration had significant effects on the mechanical properties of some materials but not all. The layers of the model had a significant effect except for elongation at break for the Med Amber material.This research demonstrates that generic post-curing guidance regarding UV exposures is not sufficient to achieve homogenous material strength properties for complex geometries. Large variations in mechanical properties throughout the models suggest some material was not fully-cured. This raises a query if such materials as originally marketed as biocompatible are fully cured and therefore safe to use for medical applications involving complex geometries.

A novel and biocompatible photopolymerizable resin based on cyclohexanedimethanol‐dimetacrylate designed to light‐print microneedles

AbstractMicroneedles offer a promising avenue for painless drug delivery through micro‐perforation, and additive manufacturing, particularly stereolithography, has proven effective for their fabrication. This study focuses on developing a novel biocompatible resin for 3D printing microneedles. Spectroscopic methods are employed to confirm the structures of all intended resin monomers, with a specific analysis of the crystallographic structure of cyclohexanedimethanol methacrylate (CDMM) using x‐ray diffraction. The results indicate that CDMM crystallizes in the monoclinic system, aligning with the P21/c space group. The fabricated conical microneedles, standing at approximately 655 μm in height, underwent thorough mechanical and thermal characterization. Depth analyses of micro‐perforations in Parafilm M and pig skin were performed using optical coherence tomography and histological sections, demonstrating successful penetration through the stratum corneum and epidermal layers into the superficial dermal layer (1.5–4 mm thickness) without affecting nerve endings. Cytocompatibility tests affirm the biocompatibility of the microneedles. This work highlights the potential of the newly developed biocompatible material for printable drug delivery systems, emphasizing microneedles and other implant forms.

Evaluating and Comparing Flexure Strength of Dental Models Printed Using Fused Deposition Modelling, Digital Light Processing, and Stereolithography Apparatus Printers.

The introduction of three-dimensional (3D) printing in dentistry has mainly focused on applications such as surgical planning, computer-guided templates, and digital impression conversions. Additive manufacturing (AM), also known as 3D printing, involves layering resin material sequentially to construct objectsand is gaining recognition for its role in creating custom-made medical appliances. The field of orthodontics has also embraced this technological waveand with the advent of cost-effective printers and biocompatible resins, 3D printing has become increasingly feasible and popular in orthodontic clinics. The limitations of traditional plaster models may have prompted the emergence of 3D-printed models, but it led to enhancing treatment planning and device fabrication, particularly in orthodontics. Notable desktop printing technologies include fused deposition modelling (FDM), digital light processing (DLP), and stereolithography (SLA), each employing distinct methods and materials for fabricating appliances. Evaluating mechanical properties, like flexure strength, is crucial to determine the material's ability to withstand bending forces and thus prove useful in fabricating thermoformable appliances, surgical templates, etc. This study aims to assess the flexure strength of 3D-printed models using FDM, DLP, and SLA technology, providing insights into their suitability as replacements for conventional models and shedding some light on the durability and sustainability of 3D-printed models. Cuboids measuring 20 x 5 x 2 mm were cut from models, creating 10 samples per printer group. These samples underwent flexure strength testing using a three-point bending system in a universal testing machine. The FDM group exhibited the highest flexure strength at 69.36 ± 6.03 MPa, while the DLP group showed the lowest flexure strength at 67.47 ± 20.58 MPa. The results can be attributed to the differences in resin materials used for fabrication, with FDM using acrylonitrile butadiene styrene (ABS) polymer and SLA/DLP using polymethyl methacrylate (PMMA), and also to the variation in their printing mechanism. The findings affirm the suitability of FDM models for orthodontic applications, suggesting enhanced efficiency and reliability in clinical practices.

Advanced pneumatic microgripper for versatile biomedical micromanipulation

Microgrippers offer better operational flexibility in biological micromanipulation. However, they face challenges in size miniaturization and environmental adaptability (especially in biological liquid environments). To overcome these challenges, a novel pneumatic microgripper is proposed with a thin-walled multi-airbag structure that directly drives the clamping jaws in motion, with a simple and compact overall construction. The microgripper has a maximum clamping range of 925 μm and can provide a clamping force exceeding 25 mN, capable of lifting loads over 300 times its weight. The microgripper is integrative and can be mass-produced with biocompatible resins in a single-step high-precision 3D printing process. The pneumatic microgripper is utilized to achieve the sorting and assisted injection of mouse oocytes (60–80 μm), assisted cutting of porcine oocytes (100–120 μm), and microscopic threading (10–15 μm) operation with two-finger cooperation. These demonstrations confirm it can operate fine manipulation of microscopic biological structures in air and liquid, and has good biocompatibility and cooperative operational ability. The developed pneumatic microgripper shows broad application prospects in biomedical applications such as microsurgery, micro biopsy, and assisted reproduction.

Customized Facial Orthopedics: Proof of Concept for Generating 3D-Printed Extra-Oral Appliance for Early Intervention in Class III Malocclusion

Background: The present case report serves as a proof of concept for the fabrication and effective clinical administration of a 3D-printed chin cup tailored to the patient’s anatomical characteristics. Methods: An 11-year-old male with a Class III malocclusion was treated using a chin cup appliance to intercept and control a Class III mandibular skeletal growing pattern early. Two tailored chin cup devices were designed using 3D face scanning and CBCT scanning and were produced with additive manufacturing techniques. The chin pads were digitally designed based on a 3D scan of the patient’s face. The 3D modeling of chin cup components was performed using 3Shape Appliance Designer and 3D printed with biocompatible resin. An analogic chin pad was also produced for the same patient. The treatment plan involved the patient wearing the chin cup for 13 h per day. The patient was instructed to use all three chin pads produced at intervals of 4 months. The patient’s experience was assessed by reporting the comfort experience via a VAS scale. The treatment strategy was effective in improving the skeletal Class III malocclusion. Additionally, the integration of 3D face scanning (or CBCT scanning), modeling, and printing enables the production of customized chin cups with superior fit and comfort, contributing to enhanced patient compliance and treatment efficacy.