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可生物降解和生物相容的牙科应用 3D 构建体:制造选择和前景。

Biodegradable and Biocompatible 3D Constructs for Dental Applications: Manufacturing Options and Perspectives.

机构信息

Department of Materials Science and Engineering, Indian Institute of Technology Delhi, Hauz Khas, New Delhi, 110016, India.

Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India.

出版信息

Ann Biomed Eng. 2021 Sep;49(9):2030-2056. doi: 10.1007/s10439-021-02839-3.

Abstract

Designing 3D constructs with appropriate materials and structural frameworks for complex dental restorative/regenerative procedures has always remained a multi-criteria optimization challenge. In this regard, 3D printing has long been known to be a potent tool for various tissue regenerative applications, however, the preparation of biocompatible, biodegradable, and stable inks is yet to be explored and revolutionized for overall performance improvisation. The review reports the currently employed manufacturing processes for the development of engineered self-supporting, easily processable, and cost-effective 3D constructs with target-specific tuneable mechanics, bioactivity, and degradability aspects in the oral cavity for their potential use in numerous dental applications ranging from soft pulp tissues to hard alveolar bone tissues. A hybrid synergistic approach, comprising of development of multi-layered, structurally stable, composite building blocks with desired physicomechanical performance and bioactivity presents an optimal solution to circumvent the major limitations and develop new-age advanced dental restorations and implants. Further, the review summarizes some manufacturing perspectives which may inspire the readers to design appropriate structures for clinical trials so as to pave the way for their routine applications in dentistry in the near future.

摘要

设计具有适当材料和结构框架的 3D 结构用于复杂的牙科修复/再生程序一直是一个多标准优化挑战。在这方面,3D 打印长期以来一直被认为是各种组织再生应用的有力工具,然而,对于整体性能的改进,生物相容性、可生物降解和稳定的墨水的制备仍有待探索和革新。该综述报告了目前用于开发工程自支撑、易于加工和具有成本效益的 3D 结构的制造工艺,这些结构具有针对口腔中特定目标的可调机械性能、生物活性和可降解性方面,以潜在应用于从软牙髓组织到硬牙槽骨组织的多种牙科应用。一种混合协同方法,包括开发具有所需物理机械性能和生物活性的多层、结构稳定的复合材料构建块,为克服主要限制并开发新一代先进的牙科修复体和植入物提供了最佳解决方案。此外,该综述总结了一些制造观点,这些观点可能会激发读者为临床试验设计合适的结构,为它们在不久的将来在牙科中的常规应用铺平道路。

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