Human Implants Research Articles

Green synthesis of Zirconium nanoparticles using Punica granatum (pomegranate) peel extract and their antimicrobial and antioxidant potency

The biosynthesis of metal oxide nanoparticles provides an excellent alternative to the chemical synthesis approach. The aim of the current study was a green and eco-friendly synthesis of zirconium nanoparticles (ZrNPs) from fruit peels of Punica granatum (Pomegranate). The synthesis of ZrNPs was confirmed using a UV–visible spectrophotometer. The functional groups present on surface of ZrNPs were analyzed using FTIR. The average size of obtained ZrNPs was analyzed using SEM and DLS and it was around 20–60 nm. The antimicrobial activity of obtained ZrNPs was tested against Gram-positive strains (Bacillus subtilis and Staphylococcus aureus), Gram-negative strains (Escherichia coli and Klebsiella pneumoniae) and Fungi (Aspergillus niger) by agar well diffusion method. ZrNPs showed maximum zone of inhibition against S. aureus (19 mm) and A. niger (18 mm) at the maximum concentration of 200 μg/mL. The antioxidant scavenging activity of obtained ZrNPs was analyzed using the following methods: DPPH radical scavenging activity, Hydroxyl radical scavenging activity, Ferric reducing antioxidant power and hydrogen peroxide radical scavenging activity. This the first and foremost study on ZrNPs synthesized using P. granatum fruit peel extract reporting their efficacy as antimicrobial agents against Bacteria and Fungi. Considering the tolerance of zirconium towards human body, it can also be used as antimicrobial coating material on human implants.

Susceptibility artifacts induced by crowns of different materials with prepared teeth and titanium implants in magnetic resonance imaging

This study aimed to investigate the artifacts induced by crowns composed of different materials with prepared teeth and titanium implants. Resin, metal-ceramic, ceramic and zirconia crowns were fabricated and placed onto the prepared teeth on a human cadaver head or titanium implants with prosthesis abutments on a dry human mandible. The samples were scanned on a 1.5 T MRI apparatus, and artifact areas were defined as the signal intensity and signal loss adjacent to the prosthesis and measured by a threshold tool with ImageJ2x. Data were analyzed using SPSS 22.0. Resin, ceramic, zirconia, and precious metal-ceramic crowns barely produced artifacts on the cadaver skull (p > 0.999). By contrast, pure Ti and nonprecious metal-ceramic crowns created significant artifacts (p < 0.001). The average artifacts reduction of double Au-Pt and Ag-Pd metal-ceramic crowns combined with titanium implants and abutments was 79.49 mm2 (p < 0.001) and 74.17 mm2 (p < 0.001) respectively, while artifact areas were increased in double Co-Cr and Ni–Cr metal-ceramic crowns by 150.10 mm2 (p < 0.001) and 175.50 mm2 (p < 0.001) respectively. Zirconia, ceramic and precious metal-ceramic crowns induce less MRI artifacts after tooth preparation while precious metal-ceramic crowns alleviate artifacts in combination with titanium implants.

Novel High-Speed 3D Printing Method Using Selective Oil Sintering with Thermoplastic Polyurethane Powder Printing.

Present methods used in three-dimensional (3D) printing, such as selective laser sintering (SLS) and multijet fusion (MJF), have limited applications, especially in relation to the manufacturing of biomedical products. The speed of SLS printing is too low, and high-speed 3D printing technology with MJF uses carbon black particles as a fusing agent, which cannot be removed from the completed 3D printed products. Carbon black and high-energy lasers are not suitable for biomedical applications, especially human implants. A new high-speed 3D method is therefore required. In this study, we used hot oil droplets (175°C) as a new type of fusing agent to melt the biomaterial thermoplastic polyurethane (TPU) powder particles to define the print area. This method replaces lasers and the carbon black fusing agent in high-speed 3D printing technology and is more energy efficient. In addition, this method can be used to not only print on TPU, but also on other flexible materials.

Fabrication of superhydrophilic surfaces for long time preservation on 316 l stainless steel by ultraviolet laser etching

Due to the good biocompatibility, 316 l stainless steel is widely used in the manufacture of medical instruments and human implants. The super hydrophilic 316 l steel surface is used for reducing friction and adhesion. By choosing appropriate laser process parameters 316 l steel surfaces with super-hydrophilic were obtained. The effects of laser process parameters including repeat frequency, pulse width, scanning speed, and the number of scanning were investigated to find the relationship between surface microstructure and wetting ability. To investigate the super-hydrophilic maintenance time on the textured surface, the textured surfaces were preserved in ambident air, distilled water, and absolute ethanol. The results showed that by choosing appropriate laser process parameters surface with super-hydrophilicity can be maintained for 30 d.

Preparation of medical Mg\u2013Zn alloys and the effect of different zinc contents on the alloy

In recent years, along with the development and application of magnesium alloys, magnesium alloys have been widely used in automotive, aerospace, medicine, sports, and other fields. In the field of medical materials, magnesium not only has the advantage of light weight, high strength, and a density similar to that of human bone, but also has good biocompatibility and promotes the growth of human bone. However, the mechanical properties and corrosion resistance of magnesium alloys need to be further improved to meet the requirements for human biodegradable implants. In this study, three alloys (mass fractions: Mg–10Zn, Mg–20Zn, and Mg–30Zn (wt.%)) were prepared using powder metallurgy by homogeneously mixing powders of the above materials in a certain amount with magnesium as the substrate through the addition of zinc elements, which also have good biocompatibility. The effect of zinc on the microstructure, mechanical properties, wear performance, and corrosion resistance of magnesium–zinc alloys was studied when the zinc content was different. The results show that compared with the traditional magnesium alloy using powder metallurgy, prepared magnesium alloy has good resistance to compression and bending, its maximum compressive stress can reach up to 318.96 MPa, the maximum bending strength reached 189.41 MPa, and can meet the mechanical properties of the alloy as a human bone-plate requirements. On the polarization curve, the maximum positive shift of corrosion potential of the specimens was 73 mv and the maximum decrease of corrosion-current density was 53.2%. From the comparison of the above properties, it was concluded that the three prepared alloys of which Mg–20% Zn had the best overall performance. Its maximum compressive stress, maximum bending strength, and corrosion-current density reached 318.96 MPa, 189.41 MPa and 2.08 × 10−5 A·cm−2 respectively, which are more suitable for use as human implant bone splints in human-body fluid environment.The mechanical properties of the sintered Mg–Zn alloys were analyzed using powder-metallurgy techniques, and their microstructure, micromotion wear properties, electrochemical corrosion properties and composition of the physical phases were analyzed and discussed.

Biomechanical Analysis of Human Femur using Finite Element Method: A Review Study

This review paper is an attempt to take up all the research work of the various researchers during the last decades in the field of finite element analysis of the human femur bone using various techniques. To do this, we have studied several articles that have been published by renowned publishers and produced an inclusive report. Biomechanics is an interdisciplinary field, where concepts from physics are used to solve various problems of health science.In the last three decades, the use of finite element analysis in the area of biomechanics to understand the behavior of human hard tissues has been increased significantly; especially bones in the relation to force distribution, fracture pattern, and their predictions, assignment of mechanical properties, and implant (prostheses) design, etc. This review article presents a comprehensive study of the analysis of femur bone analysis using the finite element to help researchers and healthcare professionals efficiently cure patients by identifying fracture risk criteria and improved the design of human implants for society.

Feasibility of heating metal implants with alternating magnetic fields (AMF) in scaled up models

Aim: Treatment of infected orthopedic implants remains a major medical challenge, involving prolonged antibiotic therapy and revision surgery, and adding a >$1 billion annual burden to the health care system in the US alone. Exposure of metallic implants to alternating magnetic fields (AMF) generates heat that can provide a noninvasive means to target biofilm adhered to the surface. In this study, an AMF system with a solenoid coil was constructed for targeting a metal plate surgically implanted in a sheep model. Methods: A tissue-mimicking phantom of the sheep leg was developed along with simulation model of phantom and the live sheep leg. This was used evaluate heating with the AMF system and to compare experimental results with numerical simulations. Comparative AMF exposures were performed/simulated in these model for feasibility of design, verification, and validation of simulations. Results: The system produced magnetic field strengths up to 12mT and achieved plate temperatures of 65–80 °C within 10–14 s. Single and intermittent AMF exposures of a tissue-mimicking phantom agreed with numerical simulations within 5 °C. Similar agreement between experimental measurements and simulations was also observed in the live sheep metal implant model. The simulations also predicted 2–3 mm of tissue damage using a CEM43 thermal dose model for 1-h AMF exposures targeting 65 °C for pulse delays of 2.5 and 5 mins. Conclusion: This study confirmed that AMF technology can be scaled up to treat implants in a large animal model with the same rates of heating and peak temperatures achieved in prior in vitro studies. Further, numerical simulations provided accurate predictions of the heating produced by AMF on metal implants and surrounding tissues, and can be used to design AMF coils for treating human prosthetic joint implants with more complex geometrical shapes.

Amorphous magnesium alloy with high corrosion resistance fabricated by laser powder bed fusion

Mg alloy suffers from poor corrosion resistance due to the corrosive microdefects including grain boundary, precipitates, and composition segregation, which lead to interfacial corrosion and galvanic corrosion, limiting the orthopedic application. In this work, an amorphous Mg-Zn-Ca alloy is fabricated by laser powder bed fusion (LPBF). LPBF provides a large degree of undercooling to achieve rapid solidification, which inhibits the nucleation and growth of the alloy and obtains the amorphous structure. Moreover, LPBF can prepare Mg alloy with complex porous internal structures and personalized shapes according to implant requirements. The results show the Mg-Zn-Ca alloy fabricated by LPBF is mainly composed of amorphous phases with chemical homogeneity. The amorphous alloy has excellent corrosion resistance, and its corrosion rate is 0.35 mm•y−1, which is within the ideal range of degradation rates for human bone implants. The corrosion product film is dense and uniform due to the formation of ZnO and Ca3(PO4)2 and uniform corrosion, preventing further corrosion and protecting the alloy matrix, thus reducing the degradation rate of the amorphous alloy. The amorphous alloy prepared by LPBF is expected to promote the application of Mg alloy in orthopedics.

Explant Analysis of Utah Electrode Arrays Implanted in Human Cortex for Brain-Computer-Interfaces.

Brain-computer interfaces are being developed to restore movement for people living with paralysis due to injury or disease. Although the therapeutic potential is great, long-term stability of the interface is critical for widespread clinical implementation. While many factors can affect recording and stimulation performance including electrode material stability and host tissue reaction, these factors have not been investigated in human implants. In this clinical study, we sought to characterize the material integrity and biological tissue encapsulation via explant analysis in an effort to identify factors that influence electrophysiological performance. We examined a total of six Utah arrays explanted from two human participants involved in intracortical BCI studies. Two platinum (Pt) arrays were implanted for 980 days in one participant (P1) and two Pt and two iridium oxide (IrOx) arrays were implanted for 182 days in the second participant (P2). We observed that the recording quality followed a similar trend in all six arrays with an initial increase in peak-to-peak voltage during the first 30–40 days and gradual decline thereafter in P1. Using optical and two-photon microscopy we observed a higher degree of tissue encapsulation on both arrays implanted for longer durations in participant P1. We then used scanning electron microscopy and energy dispersive X-ray spectroscopy to assess material degradation. All measures of material degradation for the Pt arrays were found to be more prominent in the participant with a longer implantation time. Two IrOx arrays were subjected to brief survey stimulations, and one of these arrays showed loss of iridium from most of the stimulated sites. Recording performance appeared to be unaffected by this loss of iridium, suggesting that the adhesion of IrOx coating may have been compromised by the stimulation, but the metal layer did not detach until or after array removal. In summary, both tissue encapsulation and material degradation were more pronounced in the arrays that were implanted for a longer duration. Additionally, these arrays also had lower signal amplitude and impedance. New biomaterial strategies that minimize fibrotic encapsulation and enhance material stability should be developed to achieve high quality recording and stimulation for longer implantation periods.

Longevity and reliability of chronic unit recordings using the Utah, intracortical multi-electrode arrays

Objective. Microelectrode arrays are standard tools for conducting chronic electrophysiological experiments, allowing researchers to simultaneously record from large numbers of neurons. Specifically, Utah electrode arrays (UEAs) have been utilized by scientists in many species, including rodents, rhesus macaques, marmosets, and human participants. The field of clinical human brain-computer interfaces currently relies on the UEA as a number of research groups have clearance from the United States Federal Drug Administration (FDA) for this device through the investigational device exemption pathway. Despite its widespread usage in systems neuroscience, few studies have comprehensively evaluated the reliability and signal quality of the Utah array over long periods of time in a large dataset. Approach. We collected and analyzed over 6000 recorded datasets from various cortical areas spanning almost nine years of experiments, totaling 17 rhesus macaques (Macaca mulatta) and 2 human subjects, and 55 separate microelectrode Utah arrays. The scale of this dataset allowed us to evaluate the average life of these arrays, based primarily on the signal-to-noise ratio of each electrode over time. Main results. Using implants in primary motor, premotor, prefrontal, and somatosensory cortices, we found that the average lifespan of available recordings from UEAs was 622 days, although we provide several examples of these UEAs lasting over 1000 days and one up to 9 years; human implants were also shown to last longer than non-human primate implants. We also found that electrode length did not affect longevity and quality, but iridium oxide metallization on the electrode tip exhibited superior yield as compared to platinum metallization. Significance. Understanding longevity and reliability of microelectrode array recordings allows researchers to set expectations and plan experiments accordingly and maximize the amount of high-quality data gathered. Our results suggest that one can expect chronic unit recordings to last at least two years, with the possibility for arrays to last the better part of a decade.

A Low-Noise High-Gain Recycling Folded Cascode Operational Transconductance Amplifier Based on Gate Driven and Quasi-Floating Bulk Technique

Operational Transconductance Amplifier (OTA) is an important circuit block used in the design of filter, amplifiers and oscillators for various analog-mixed circuit systems. However, design of a low-noise, high-gain OTA with low-power consumption is a challenging task in CMOS technology owing to high-power requirements of OTA for emulating high gain. This paper represents the design of gate-driven quasi-floating bulk recycling folded cascode (GDQFB RFC) OTA which has been shown to provide low-noise operation, emulates high gain and draws very less power. The design utilizes the gate-driven quasi-floating bulk (GDQFB) technique on a recycling folded cascode structure, which enhances the transconductance of OTA and improves its performance. All the post-layout simulation results have been obtained in 0.18-μm CMOS N-well technology using BSIM3V3 device models. The obtained results indicate very high gain of 100.4 dB, gain-bandwidth of 69 kHz, phase margin of 51.9∘ with power consumption of 2.31μW from ±0.9V supply voltage. The input referred noise emulated by proposed OTA is 0.684, 0.21 and 0.0592μV/√Hz @ 1 Hz, 10 Hz and 1 kHz, respectively. The input common mode range and output voltage swing are found to be −0.402 to 0.669 V and −0.493 to 0.610 V, respectively. Corner simulations and Monte Carlo analysis have been performed to verify the robustness of the proposed OTA. The proposed OTA can be used in design of filters and amplifiers for bio-instruments, sensor applications, neural recording applications and human implants etc.

A Critical Review on Effect of Process Parameters on Mechanical and Microstructural Properties of Powder-Bed Fusion Additive Manufacturing of SS316L.

Additive manufacturing (AM) is one of the recently studied research areas, due to its ability to eliminate different subtractive manufacturing limitations, such as difficultly in fabricating complex parts, material wastage, and numbers of sequential operations. Laser-powder bed fusion (L-PBF) AM for SS316L is known for complex part production due to layer-by-layer deposition and is extensively used in the aerospace, automobile, and medical sectors. The process parameter selection is crucial for deciding the overall quality of the SS316L build component with L-PBF AM. This review critically elaborates the effect of various input parameters, i.e., laser power, scanning speed, hatch spacing, and layer thickness, on various mechanical properties of AM SS316L, such as tensile strength, hardness, and the effect of porosity, along with the microstructure evolution. The effect of other AM parameters, such as the build orientation, pre-heating temperature, and particle size, on the build properties is also discussed. The scope of this review also concerns the challenges in practical applications of AM SS316L. Hence, the residual stress formation, their influence on the mechanical properties and corrosion behavior of the AM build part for bio implant application is also considered. This review involves a detailed comparison of properties achievable with different AM techniques and various post-processing techniques, such as heat treatment and grain refinement effects on properties. This review would help in selecting suitable process parameters for various human body implants and many different applications. This study would also help to better understand the effect of each process parameter of PBF-AM on the SS316L build part quality.

Microstructure and Biomechanical Properties in Selective Laser Melting of Porous Metal Implants.

Two kinds of porous structure design strategies, ring-support (RS) and column-support (CS), are proposed for human implants. The accurate design of porosity is realized by adjusting the pore characteristics, such as strut diameter, pore diameter, and unit size. Porous specimens with porosity of 50%, 60%, 70%, and 80% were prepared by selective laser melting. The three-dimensional pore structure is basically consistent with the design characteristics, and the measured porosity is slightly lower than design value. The microstructure, microhardness, and friction and wear properties of the samples were studied. The results show that the performance along the scanning orientation is slightly better than that along the forming orientation. The compression and dynamic elastic modulus of porous specimens with different structures and porosities were analyzed. The CS porous with 60-80% porosity has suitable compressive strength and elastic modulus, which is close to that of human tissue, and effectively avoids the stress shielding phenomenon.

Immunosuppressed Miniswine as a Model for Testing Cell Therapy Success: Experience With Implants of Human Salivary Stem/Progenitor Cell Constructs.

An urgent need exists to develop large animal models for preclinical testing of new cell therapies designed to replace lost or damaged tissues. Patients receiving irradiation for treatment of head and neck cancers frequently develop xerostomia/dry mouth, a condition that could one day be treated by cell therapy to repopulate functional saliva-producing cells. Using immunosuppression protocols developed for patients receiving whole face transplants, we successfully used immunosuppressed miniswine as a suitable host animal to evaluate the long-term stability, biocompatibility, and fate of matrix-modified hyaluronate (HA) hydrogel/bioscaffold materials containing encapsulated salivary human stem/progenitor cells (hS/PCs). An initial biocompatibility test was conducted in parotids of untreated miniswine. Subsequent experiments using hS/PC-laden hydrogels were performed in animals, beginning an immunosuppression regimen on the day of surgery. Implant sites included the kidney capsule for viability testing and the parotid gland for biointegration time periods up to eight weeks. No transplant rejection was seen in any animal assessed by analysis of the tissues near the site of the implants. First-generation implants containing only cells in hydrogel proved difficult to handle in the surgical suite and were modified to adhere to a porcine small intestinal submucosa (SIS) membrane for improved handling and could be delivered through the da Vinci surgical system. Several different surgical techniques were assessed using the second-generation 3D-salivary tissue (3D-ST) for ease and stability both on the kidney capsule and in the capsule-less parotid gland. For the kidney, sliding the implant under the capsule membrane and quick stitching proved superior to other methods. For the parotid gland, creation of a tissue “pocket” for placement and immediate multilayer tissue closure were well tolerated with minimal tissue damage. Surgical clips were placed as fiduciary markers for tissue harvest. Some implant experiments were conducted with miniswine 90 days post-irradiation when salivation decreased significantly. Sufficient parotid tissue remained to allow implant placement, and animals tolerated immunosuppression. In all experiments, viability of implanted hS/PCs was high with clear signs of both vascular and nervous system integration in the parotid implants. We thus conclude that the immunosuppressed miniswine is a high-value emerging model for testing human implants prior to first-in-human trials.

Effect of Processing Techniques on the Microstructure and Mechanical Performance of High-Density Polyethylene.

The versatility of high-density polyethylene (HDPE) makes it one of the most used polymers for vast applications ranging from food packaging to human implants. However, there still is confusion regarding the proper selection of processing techniques to produce HDPE specimens for high-end applications. Herein, we compare the processing of HDPE by two relevant techniques: compression and injection molding. The fabricated samples were studied using uniaxial tensile testing to determine their mechanical performance. Furthermore, the microstructure of samples was analyzed using different characterization techniques. Compression-molded specimens recorded a higher degree of crystallinity (DC) using two different characterization techniques such as differential scanning calorimetry (DSC) and X-ray diffraction (XRD). With this information, critical processing factors were determined, and a general structure–property relationship was established. It was demonstrated that having a higher DC resulted in higher yield strength and Young’s modulus. Furthermore, premature failure was observed in the injection-molded specimens, resulting in lower mechanical performance. This premature failure was caused due to flow marks observed using scanning electron microscopy (SEM). Therefore, it is concluded that compression molding produces superior samples compared to injection molding.

Negative Poisson’s ratio lattice for designing vertebral biomaterials

This work designs and experimentally validates a novel bone-mimicking biomaterial for human cancellous bone vertebral implants. The lattice architecture here proposed consists of a 3D printed titanium auxetic meta-biomaterial, with a complex micro-structure resembling vertebral trabeculae, and exhibiting a negative Poisson’s ratio. Through finite element analysis, the work finds the optimal geometrical parameters of the unit cells of the lattice and performs the shape optimization of the trabeculae. This leads to a meta-biomaterial with a Poisson’s ratio up to −0.64, and a Young’s modulus of 128.3 MPa, close to that of human vertebral cancellous bones, as the experimental validation confirms. The work demonstrates the great potential of additively manufactured hybrid titanium auxetic metamaterials, which can be designed to obtain peculiar mechanical properties that improve bone tissue regeneration while prevent stress-shielding phenomena.

TOP2B Enzymatic Activity on Promoters and Introns Modulates Multiple Oncogenes in Human Gliomas.

The epigenetic mechanisms involved in transcriptional regulation leading to malignant phenotype in gliomas remains poorly understood. Topoisomerase IIB (TOP2B), an enzyme that decoils and releases torsional forces in DNA, is overexpressed in a subset of gliomas. Therefore, we investigated its role in epigenetic regulation in these tumors. To investigate the role of TOP2B in epigenetic regulation in gliomas, we performed paired chromatin immunoprecipitation sequencing for TOP2B and RNA-sequencing analysis of glioma cell lines with and without TOP2B inhibition and in human glioma specimens. These experiments were complemented with assay for transposase-accessible chromatin using sequencing, gene silencing, and mouse xenograft experiments to investigate the function of TOP2B and its role in glioma phenotypes. We discovered that TOP2B modulates transcription of multiple oncogenes in human gliomas. TOP2B regulated transcription only at sites where it was enzymatically active, but not at all native binding sites. In particular, TOP2B activity localized in enhancers, promoters, and introns of PDGFRA and MYC, facilitating their expression. TOP2B levels and genomic localization was associated with PDGFRA and MYC expression across glioma specimens, which was not seen in nontumoral human brain tissue. In vivo, TOP2B knockdown of human glioma intracranial implants prolonged survival and downregulated PDGFRA. Our results indicate that TOP2B activity exerts a pleiotropic role in transcriptional regulation of oncogenes in a subset of gliomas promoting a proliferative phenotype.

The surface topography of silicone breast implants mediates the foreign body response in mice, rabbits and humans.

Silicone is widely used in chronic implants and is generally perceived to be safe. However, textured breast implants have been associated with immune-related complications, including malignancies. Here, by examining for up to one year the foreign body response and capsular fibrosis triggered by miniaturized or full-scale clinically approved breast implants with different surface topography (average roughness, 0-90 μm) placed in the mammary fat pads of mice or rabbits, respectively, we show that surface topography mediates immune responses to the implants. We also show that the surface surrounding human breast implants collected during revision surgeries also differentially alters the individual's immune responses to the implant. Moreover, miniaturized implants with an average roughness of 4 μm can largely suppress the foreign body response and fibrosis (but not in T-cell-deficient mice), and that tissue surrounding these implants displayed higher levels of immunosuppressive FOXP3+ regulatory T cells. Our findings suggest that, amongst the topographies investigated, implants with an average roughness of 4 μm provoke the least amount of inflammation and foreign body response.

Preparation and Performance Evaluation of Duotone 3D-Printed Polyetheretherketone as Oral Prosthetic Materials: A Proof-of-Concept Study.

Literature has reported the successful use of 3D printed polyetheretherketone (PEEK) to fabricate human body implants and oral prostheses. However, the current 3D printed PEEK (brown color) cannot mimic the vivid color of oral tissues and thus cannot meet the esthetical need for dental application. Therefore, titanium dioxide (TiO2) and ferric oxide (Fe2O3) were incorporated into PEEK to prepare a series of tooth-color and gingival-color PEEK composites in this study. Through color measurements and mechanical tests, the color value and mechanical performance of the 3D printed PEEK composites were evaluated. In addition, duotone PEEK specimens were printed by a double nozzle with an interface between tooth-color and gingival-color parts. The mechanical performance of duotone PEEK with two different interfaces (horizontal and vertical) was investigated. With the addition of TiO2 and Fe2O3, the colors of 3D printed PEEK composites become closer to that of dental shade guides. 3D printed PEEK composites generally demonstrated superior tensile and flexural properties and hence have great potential in the dental application. In addition, duotone 3D printed PEEK with a horizontal interfacial orientation presented better mechanical performance than that with a vertical one.

Applications of 3D Bio-Printing in Tissue Engineering and Biomedicine.

In recent years, 3D bio-printing technology has developed rapidly and become an advanced bio-manufacturing technology. At present, 3D bio-printing technology has been explored in the fields of tissue engineering, drug testing and screening, regenerative medicine and clinical disease research and has achieved many research results. Among them, the application of 3D bio-printing technology in tissue engineering has been widely concerned by researchers, and it contributing many breakthroughs in the preparation of tissue engineering scaffolds. In the future, it is possible to print fully functional tissues or organs by using 3D bio-printing technology which exhibiting great potential development prospects in th applications of organ transplantation and human body implants. It is expected to solve thebiomedical problems of organ shortage and repair of damaged tissues and organs. Besides,3Dbio-printing technology will benefit human beings in more fields. Therefore, this paper reviews the current applications, research progresses and limitations of 3D bio-printing technology in biomedical and life sciences, and discusses the main printing strategies of 3D bio-printing technology. And, the research emphases, possible development trends and suggestions of the application of 3D bio-printing are summarized to provide references for the application research of 3D bio-printing.