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      An Introduction to 3D Bioprinting: Possibilities, Challenges and Future Aspects

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          Abstract

          Bioprinting is an emerging field in regenerative medicine. Producing cell-laden, three-dimensional structures to mimic bodily tissues has an important role not only in tissue engineering, but also in drug delivery and cancer studies. Bioprinting can provide patient-specific spatial geometry, controlled microstructures and the positioning of different cell types for the fabrication of tissue engineering scaffolds. In this brief review, the different fabrication techniques: laser-based, extrusion-based and inkjet-based bioprinting, are defined, elaborated and compared. Advantages and challenges of each technique are addressed as well as the current research status of each technique towards various tissue types. Nozzle-based techniques, like inkjet and extrusion printing, and laser-based techniques, like stereolithography and laser-assisted bioprinting, are all capable of producing successful bioprinted scaffolds. These four techniques were found to have diverse effects on cell viability, resolution and print fidelity. Additionally, the choice of materials and their concentrations were also found to impact the printing characteristics. Each technique has demonstrated individual advantages and disadvantages with more recent research conduct involving multiple techniques to combine the advantages of each technique.

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          3D bioprinting for engineering complex tissues.

          Bioprinting is a 3D fabrication technology used to precisely dispense cell-laden biomaterials for the construction of complex 3D functional living tissues or artificial organs. While still in its early stages, bioprinting strategies have demonstrated their potential use in regenerative medicine to generate a variety of transplantable tissues, including skin, cartilage, and bone. However, current bioprinting approaches still have technical challenges in terms of high-resolution cell deposition, controlled cell distributions, vascularization, and innervation within complex 3D tissues. While no one-size-fits-all approach to bioprinting has emerged, it remains an on-demand, versatile fabrication technique that may address the growing organ shortage as well as provide a high-throughput method for cell patterning at the micrometer scale for broad biomedical engineering applications. In this review, we introduce the basic principles, materials, integration strategies and applications of bioprinting. We also discuss the recent developments, current challenges and future prospects of 3D bioprinting for engineering complex tissues. Combined with recent advances in human pluripotent stem cell technologies, 3D-bioprinted tissue models could serve as an enabling platform for high-throughput predictive drug screening and more effective regenerative therapies.
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            3D bioprinting for biomedical devices and tissue engineering: A review of recent trends and advances

            3D printing, an additive manufacturing based technology for precise 3D construction, is currently widely employed to enhance applicability and function of cell laden scaffolds. Research on novel compatible biomaterials for bioprinting exhibiting fast crosslinking properties is an essential prerequisite toward advancing 3D printing applications in tissue engineering. Printability to improve fabrication process and cell encapsulation are two of the main factors to be considered in development of 3D bioprinting. Other important factors include but are not limited to printing fidelity, stability, crosslinking time, biocompatibility, cell encapsulation and proliferation, shear-thinning properties, and mechanical properties such as mechanical strength and elasticity. In this review, we recite recent promising advances in bioink development as well as bioprinting methods. Also, an effort has been made to include studies with diverse types of crosslinking methods such as photo, chemical and ultraviolet (UV). We also propose the challenges and future outlook of 3D bioprinting application in medical sciences and discuss the high performance bioinks.
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              Direct 3D Printing of Shear-Thinning Hydrogels into Self-Healing Hydrogels.

              Supramolecular hydrogels are used in the 3D printing of high-resolution, multi-material structures. The non-covalent bonds allow the extrusion of the inks into support gels to directly write structures continuously in 3D space. This material system supports the patterning of multiple inks, cells, and void spaces.
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                Author and article information

                Journal
                Materials (Basel)
                Materials (Basel)
                materials
                Materials
                MDPI
                1996-1944
                06 November 2018
                November 2018
                : 11
                : 11
                : 2199
                Affiliations
                [1 ]Department of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia
                [2 ]Botiss Biomaterials, Hauptstraße 28, 15806 Zossen, Germany; patrick.rider@ 123456botiss.com (P.M.R.); mike.barbeck@ 123456icloud.com (M.B.)
                [3 ]Department of Biomedical Engineering, Faculty of Applied Medical Sciences, German-Jordanian University, 11180 Amman, Jordan; saidkildani@ 123456gmail.com
                [4 ]Institute for Environmental Toxicology, Martin-Luther-Universität, Halle-Wittenberg and Faculty of Biomedical Engineering, Anhalt University of Applied Science, 06366 Köthen, Germany; sujiroshi@ 123456gmail.com
                [5 ]Department of Oral and Maxillofacial Surgery, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany; r.smeets@ 123456uke.de
                [6 ]Department of Oral Maxillofacial Surgery, Division of Regenerative Orofacial Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany; ol.jung@ 123456uke.de
                [7 ]Department of Dental Medicine, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; zrinkaivan@ 123456gmail.com
                [8 ]BerlinAnalytix GmbH, 12109 Berlin, Germany
                Author notes
                [* ]Correspondence: zeljkapericc@ 123456gmail.com ; Tel.: +49-3020-6073-9858
                Author information
                https://orcid.org/0000-0002-8250-723X
                https://orcid.org/0000-0002-3620-7199
                https://orcid.org/0000-0002-2629-4102
                https://orcid.org/0000-0002-3001-1347
                Article
                materials-11-02199
                10.3390/ma11112199
                6266989
                30404222
                a44076c4-432f-47d2-b885-99dbf0b9f4a0
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 01 October 2018
                : 02 November 2018
                Categories
                Review

                additive manufacturing,3d scaffolds,inkjet,extrusion,stereolithography,laser-assisted,rapid prototyping

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