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Search Results (568)

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Keywords = three-dimensional printing technique

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31 pages, 5559 KB  
Review
Advances in Fabrication Technologies of Advanced Ceramics and High-Quality Development Trends in Catalytic Applications
by Weitao Xu, Peng Lv, Jiayin Li, Jing Yang, Liyun Cao and Jianfeng Huang
Catalysts 2026, 16(1), 79; https://doi.org/10.3390/catal16010079 - 9 Jan 2026
Viewed by 521
Abstract
Advanced ceramics are known for their lightweight, high-temperature resistance, corrosion resistance, and biocompatibility. They are crucial in energy conversion, environmental protection, and aerospace fields. This review highlights the recent advancements in ceramic matrix composites, high-entropy ceramics, and polymer-derived ceramics, alongside various fabrication techniques [...] Read more.
Advanced ceramics are known for their lightweight, high-temperature resistance, corrosion resistance, and biocompatibility. They are crucial in energy conversion, environmental protection, and aerospace fields. This review highlights the recent advancements in ceramic matrix composites, high-entropy ceramics, and polymer-derived ceramics, alongside various fabrication techniques such as three-dimensional printing, advanced sintering, and electric-field-assisted joining. Beyond the fabrication process, we emphasize how different processing methods impact microstructure, transport properties, and performance metrics relevant to catalysis. Additive manufacturing routes, such as direct ink writing, digital light processing, and binder jetting, are discussed and normalized based on factors such as relative density, grain size, pore architecture, and shrinkage. Cold and flash sintering methods are also examined, focusing on grain-boundary chemistry, dopant compatibility, and scalability for catalyst supports. Additionally, polymer-derived ceramics (SiOC, SiCN, SiBCN) are reviewed in terms of their catalytic performance in hydrogen evolution reaction, oxygen evolution reaction, oxygen reduction reaction, and CO2 reduction reaction. CeO2-ZrO2 composites are particularly highlighted for their use in environmental catalysis and high-temperature gas sensing. Furthermore, insights on the future industrialization, cross-disciplinary integration, and performance improvements in catalytic applications are provided. Full article
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17 pages, 1952 KB  
Systematic Review
Microbial Adhesion on 3D-Printed Composite Polymers Used for Orthodontic Clear Aligners: A Systematic Review and Meta-Analysis of In Vitro Evidence
by Sandy Hazko, Ahmed A. Holiel, Rim Bourgi, Carlos Enrique Cuevas-Suárez, Roland Kmeid, Louis Hardan, Aly Osman, Abigailt Flores-Ledesma, Naji Kharouf and Nicolas Nassar
J. Compos. Sci. 2026, 10(1), 26; https://doi.org/10.3390/jcs10010026 - 6 Jan 2026
Viewed by 270
Abstract
Objectives: This systematic review and meta-analysis aimed to evaluate microbial adhesion and biofilm formation on additively manufactured composite-based orthodontic clear aligners compared with thermoformed aligners and other conventional polymeric materials. The influence of material composition, surface roughness, post-processing parameters, and cleaning protocols on [...] Read more.
Objectives: This systematic review and meta-analysis aimed to evaluate microbial adhesion and biofilm formation on additively manufactured composite-based orthodontic clear aligners compared with thermoformed aligners and other conventional polymeric materials. The influence of material composition, surface roughness, post-processing parameters, and cleaning protocols on microbial colonization was also assessed. Methods: A comprehensive search of PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library was conducted up to September 2025. Only in vitro studies investigating microbial adhesion, biofilm biomass, or microbiome changes on three-dimensional (3D)-printed aligner composites were included. Primary outcomes consisted of colony-forming units (CFU), optical density (OD) from crystal violet assays, viable microbial counts, and surface roughness. Risk of bias was assessed using the RoBDEMAT tool. Data were narratively synthesized, and a random-effects meta-analysis was performed for comparable datasets. Results: Five studies fulfilled the inclusion criteria, of which two in vitro studies were eligible for meta-analysis. Microbial adhesion and biofilm accumulation were influenced by the manufacturing technique, composite resin formulation, and surface characteristics. Certain additively manufactured aligners exhibited smoother surfaces and reduced bacterial adhesion compared with thermoformed controls, whereas others with increased surface roughness showed higher biofilm accumulation. Incorporating bioactive additives such as chitosan nanoparticles reduced Streptococcus mutans biofilm formation without compromising material properties. The meta-analysis, based on two in vitro studies, demonstrated higher OD values for bacterial biofilm on 3D-printed aligners compared with thermoformed aligners, indicating increased biofilm biomass (p < 0.05), but not necessarily viable bacterial load. Conclusions: Microbial adhesion and biofilm formation on 3D-printed composite clear aligners are governed by resin composition, additive manufacturing parameters, post-curing processes, and surface finishing. Although certain 3D-printed materials display antibacterial potential, the limited number of studies restricts the generalizability of these findings. Clinical Significance: Optimizing composite formulations for 3D printing, alongside careful post-curing and surface finishing, may help reduce microbial colonization. Further research is required before translating these findings into definitive clinical recommendations for clear aligner therapy. Full article
(This article belongs to the Special Issue Additive Manufacturing of Advanced Composites, 2nd Edition)
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13 pages, 4320 KB  
Article
Clinical and Radiological Outcomes of C1–C2 Fixation: 3D-Printed Template vs. Free-Hand Technique
by Ceren Kizmazoglu, Koray Ur, Inan Uzunoglu, Bugra Husemoglu, Ersin Ikizoglu, Musa Sezer, Ege Coskun, Mert Arslan, Hatun Mine Sahin and Ercan Ozer
J. Clin. Med. 2026, 15(2), 408; https://doi.org/10.3390/jcm15020408 - 6 Jan 2026
Viewed by 154
Abstract
Objectives: The Goel–Harms technique provides rapid stabilization and high fusion rates for atlantoaxial instability but carries a risk of neurovascular injury during lateral mass and pedicle screw insertion. Recently, 3D printing has emerged as a cost-effective and increasingly accessible tool in various surgical [...] Read more.
Objectives: The Goel–Harms technique provides rapid stabilization and high fusion rates for atlantoaxial instability but carries a risk of neurovascular injury during lateral mass and pedicle screw insertion. Recently, 3D printing has emerged as a cost-effective and increasingly accessible tool in various surgical fields. This study aimed to compare the clinical and radiological outcomes of C1–C2 fixation using a 3D-printed template versus the free-hand technique. Methods: This retrospective cohort study included patients who underwent C1–C2 fixation with the Goel–Harms technique at two tertiary neurosurgical centers between 2021 and 2023. Operative, radiological, and functional outcomes were reviewed in 21 patients who were operated using either a patient-specific 3D-printed template applied intraoperatively (Group 1; n = 10) or the free-hand technique (Group 2; n = 11). Postoperative screw accuracy was assessed using the Gertzbein–Robbins classification. Results: A total of 84 screws were placed (Group 1: 40; Group 2: 44). In Group 1, 38 of 40 screws (95%) were accurately placed, compared with 41 of 44 screws (93.1%) in Group 2. The mean fluoroscopy and operative times were significantly shorter in Group 1 than in Group 2 (21.90 ± 4.33 s vs. 27.09 ± 13.48 s, p = 0.012; 126.60 ± 28.70 min vs. 171.36 ± 40.44 min, p = 0.010, respectively). Conclusions: The 3D-printed template technique significantly reduced operative and fluoroscopy times compared with the free-hand technique. Three-dimensional printing offers a cost-effective alternative to conventional navigation systems by eliminating their time-consuming preoperative setup in the operating room. Full article
(This article belongs to the Section Nuclear Medicine & Radiology)
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20 pages, 15704 KB  
Article
‘ART’: What Pollock Learned from Hayter
by Elizabeth L. Langhorne
Arts 2026, 15(1), 12; https://doi.org/10.3390/arts15010012 - 4 Jan 2026
Viewed by 209
Abstract
Experimental prints made by Jackson Pollock in Stanley William Hayter’s Atelier 17 in 1944–45 were crucial to the evolution of his modernist style, an evolution quite different from Clement Greenberg’s conception of it. Hayter said “Pollock always claimed that he had two masters, [...] Read more.
Experimental prints made by Jackson Pollock in Stanley William Hayter’s Atelier 17 in 1944–45 were crucial to the evolution of his modernist style, an evolution quite different from Clement Greenberg’s conception of it. Hayter said “Pollock always claimed that he had two masters, Benton and me.” Following Charles Darwent’s Surrealists in New York: Atelier 17 and the Birth of Abstract Expressionism 2023 and Christina Weyl’s The Women of Atelier 17 2019, this article examines a 1944–45 engraving in which Pollock inscribed the letters A, R, T. This examination reveals the experimental techniques and the gendered themes that shaped Pollock’s continued exploration of his art as erotic dialogue. Absorbing Hayter’s technical understanding of the three-dimensionality of an engraved line as it produced and moved through “the space of the imagination,” Pollock succeeded in mediating between male and female tensions, stated in underlying imagery, as he began in ‘ART’ to generate his abstract and unifying all-over linear webs, culminating in such works as Autumn Rhythm 1950. Full article
(This article belongs to the Section Visual Arts)
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11 pages, 2753 KB  
Article
Impact of 3D-Printed Tricalcium Phosphate Scaffold Polymorphism and Post-Processing Variations on Bone Regenerative Outcomes
by Nicholas Jose Iglesias, Sara E. Munkwitz, Hana Shah, Savanah R. Sturm, Nicholas A. Mirsky, Adriana I. Sandino, Ricky Almada, Vasudev Vivekanand Nayak, Lukasz Witek and Paulo G. Coelho
Bioengineering 2026, 13(1), 34; https://doi.org/10.3390/bioengineering13010034 - 28 Dec 2025
Viewed by 355
Abstract
Tricalcium phosphate (TCP) bioceramics, available as α- and β-polymorphs, are frequently employed in the production of three-dimensionally (3D) printed bone scaffolds. Although hydrothermal immersion processing (HP) and sintering (S) are commonly adopted as post-printing techniques for bioceramics, a comprehensive comparative analysis of their [...] Read more.
Tricalcium phosphate (TCP) bioceramics, available as α- and β-polymorphs, are frequently employed in the production of three-dimensionally (3D) printed bone scaffolds. Although hydrothermal immersion processing (HP) and sintering (S) are commonly adopted as post-printing techniques for bioceramics, a comprehensive comparative analysis of their effects on the osteogenic performance of α- and β-polymorphs in vivo remains inadequately investigated. In this study, α-TCP and β-TCP scaffolds were fabricated via direct ink writing and subjected to hydrothermal immersion processing (α-TCP/HP) and sintering (β-TCP/S) prior to implantation in n = 12 skeletally mature sheep (n = 1 scaffold per group per animal), and the outcome variables were evaluated at 3 and 12 weeks postoperatively (n = 6 sheep per time point). The quantitative results showed no significant differences in bone deposition or scaffold resorption at 3 weeks postoperatively (p = 0.618 and p = 0.898, respectively). However, at 12 weeks, there was a significant increase in osteogenesis and scaffold resorption in the β-TCP/S cohort relative to the α-TCP/HP counterparts (p < 0.001 and p = 0.004, respectively). β-TCP scaffolds subjected to post-print sintering exhibited superior osteoconductive and resorptive profiles compared to hydrothermal immersion-processed α-TCP scaffolds over the 12-week healing period. Full article
(This article belongs to the Section Biomedical Engineering and Biomaterials)
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19 pages, 4568 KB  
Article
Role of Computer-Assisted Surgery in the Management of Pediatric Orbital Tumors: Insights from a Leading Referral Center
by Elena Gomez Garcia, Maria Granados, Javier M. Saceda, Maria N. Moreno, Jorge Zamorano, Jose L. Cebrian and Susana Noval
Children 2025, 12(12), 1649; https://doi.org/10.3390/children12121649 - 4 Dec 2025
Viewed by 420
Abstract
Background/Objectives: Pediatric orbital tumors are rare and complex, requiring multidisciplinary care at specialized centers. Contemporary treatment paradigms emphasize centralized care delivery through experienced multidisciplinary teams to optimize patient outcomes. Recent advances in surgical planning technologies and intraoperative navigation systems have substantially enhanced surgical [...] Read more.
Background/Objectives: Pediatric orbital tumors are rare and complex, requiring multidisciplinary care at specialized centers. Contemporary treatment paradigms emphasize centralized care delivery through experienced multidisciplinary teams to optimize patient outcomes. Recent advances in surgical planning technologies and intraoperative navigation systems have substantially enhanced surgical safety through improvement in tumor resection and reconstruction and reduction in complications, including recurrence of the lesion. Computed-aided surgical technologies enable precise virtual planning, minimally invasive approaches and more precise reconstruction methods when necessary by mean of patient-specific cutting guides, premolded orbital plates or individual patient solutions (IPS) prosthesis. Three-dimensional biomodelling visualizes tumor architecture and aids localization while preserving neurovascular structures, and real-time neuronavigation improves safety and efficacy. Methods: We conducted a retrospective analysis of 98 pediatric patients with orbital tumors treated between 2014 and 2025 at a tertiary center to evaluate the use of computed-assisted surgical technologies and the indications for treatment. Inclusion criteria comprised all cases where computer-assisted techniques were employed. Patients were classified into two groups: Group 1—intraconal or extensive periorbital lesions with eye-sparing intent treated via craniofacial approaches; Group 2—periorbital tumors with orbital wall involvement, to analyze the use of the different technologies. Data collected included tumor age, type, location, technology used, adjunctive treatments, and postoperative outcomes. Results: Twelve patients underwent computer-assisted surgery. Technologies employed over the last six years included intraoperative navigation, 3D planning with/without tumor segmentation, orbital-wall reconstruction by mirroring, IPS or titanium mesh bending, and preoperative biomodelling. Patients were grouped by tumor location and treatment goals: Group 1—intraorbital lesions (primarily intraconal or 270–360° involvement), including one case of orbital encephalocele treated transcranially; Group 2—periorbital tumors with orbital-wall destruction, treated mainly via midfacial approaches. Intraoperative navigation was used in 10/12 cases (8/11 with tumor segmentation); in 3 cases with ill-defined margins, navigation localized residual tumor. Virtual surgery predominated in Group 2 (4 patients) and one in Group 1, combined with cutting guides for margins and Individual Prosthetic Solutions (IPS) prosthesis fitting (two patients: titanium and PEEK). In two cases, virtual plans were performed, STL models printed, and premolded titanium meshes used. No complications related to tumor persistence or orbital disturbance were observed. Conclusions: Advanced surgical technologies substantially enhance safety, efficiency, and outcomes in pediatric orbital tumors. Technology-assisted approaches represent a paradigm shift in this complex field. Additional studies are needed to establish evidence-based protocols for systematic integration of technology in pediatric orbital tumor management. Full article
(This article belongs to the Special Issue Pediatric Oral and Facial Surgery: Advances and Future Challenges)
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22 pages, 2951 KB  
Article
Multivariate Monitoring and Evaluation of Dimensional Variability in Additive Manufacturing: A Comparative Study of EBM, FDM, and SLA
by Abdulrahman M. Al-Ahmari, Moath Alatefi and Wadea Ameen
Processes 2025, 13(12), 3825; https://doi.org/10.3390/pr13123825 - 26 Nov 2025
Viewed by 406
Abstract
This study evaluates AM dimensional performance using multivariate quality control methods. Three-dimensionally printed products include multivariate correlated quality characteristics (QCs) that should be evaluated together. Furthermore, the same 3D-printed product can be produced by various additive manufacturing techniques, necessitating a comparative analysis to [...] Read more.
This study evaluates AM dimensional performance using multivariate quality control methods. Three-dimensionally printed products include multivariate correlated quality characteristics (QCs) that should be evaluated together. Furthermore, the same 3D-printed product can be produced by various additive manufacturing techniques, necessitating a comparative analysis to figure out which process provides superior quality. This study evaluates three AM processes—electron beam melting (EBM), fused deposition Modeling (FDM), and stereolithography (SLA)—to assess their performance in multivariate quality control. The research methodology focuses on monitoring, evaluating, and comparing these three AM processes. A standardized benchmark specimen is designed and fabricated using each AM process. Seven critical dimensional QCs were identified, and their specification limits were established based on ISO standards. Data collection was conducted using a high-precision measurement technique. This study used an improved Multivariate Exponentially Weighted Moving Average (MEWMA) control chart for process monitoring to detect deviations. The subsequent process evaluation used Multivariate Process Capability Indices (MPCIs) to assess conformance to specification limits. Then, a sensitivity study was conducted to assess the variability within each AM process. The findings identify the QC that contributes most to variation in each AM process and show clear differences in dimensional performance among EBM, SLA, and FDM, supporting process selection for precision applications. Full article
(This article belongs to the Special Issue Process Engineering: Process Design, Control, and Optimization)
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24 pages, 1622 KB  
Review
An Overview of 3D Bioprinting Impact on Cell Viability: From Damage Assessment to Protection Solutions
by Sara Manzoli, Elena Merotto, Martina Piccoli, Pierangelo Gobbo, Silvia Todros and Piero G. Pavan
J. Funct. Biomater. 2025, 16(12), 436; https://doi.org/10.3390/jfb16120436 - 25 Nov 2025
Cited by 1 | Viewed by 1486
Abstract
Three-dimensional (3D) bioprinting has become a widely exploited tissue engineering technique for producing functional constructs that can mimic and replace native tissues. To this end, different printing strategies can be adopted, including inkjet-based, light-assisted, and extrusion-based bioprinting. Despite the great improvements that these [...] Read more.
Three-dimensional (3D) bioprinting has become a widely exploited tissue engineering technique for producing functional constructs that can mimic and replace native tissues. To this end, different printing strategies can be adopted, including inkjet-based, light-assisted, and extrusion-based bioprinting. Despite the great improvements that these innovative techniques introduce, cell viability maintenance during and after the bioprinting process remains a challenging open question. Indeed, the reduction in cell viability is generally related to several crucial conditions during printing, such as high shear stresses and a nutrient-deficient environment of printed constructs. In this work, the current literature on 3D bioprinting technologies is reviewed, focusing on the level of cell damage that can be imparted during biomaterial printing. In particular, extrusion bioprinting, extrusion-associated shear stress and its impact on cell viability are described in detail. The simulation of the bioprinting process through computational fluid dynamics is proposed as an appropriate method to analyze the parameters involved during bioprinting. Moreover, the viability of cells encapsulated into bioink is discussed, as well as literature techniques aimed at enhancing it by both biomaterial modifications and cell micro-encapsulation. Full article
(This article belongs to the Special Issue 3D Bioprinting for Tissue Engineering and Regenerative Medicine)
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37 pages, 10182 KB  
Review
Three-Dimensionally Printed Catalytic Structures
by Margarita A. Marchenkova, Jamal K. Gadzhiev, Alexander A. Guda, Alexander V. Soldatov and Sergei V. Chapek
J. Manuf. Mater. Process. 2025, 9(11), 372; https://doi.org/10.3390/jmmp9110372 - 12 Nov 2025
Viewed by 1382
Abstract
Three-dimensionally (3D)-printed catalytic structures are revolutionizing catalysis and chemical engineering. Unlike traditional supports, modern triply periodic minimal surfaces (TPMS), lattices, and fractals actively influence mass and heat transfer and flow distribution. This review summarizes advancements in the classification, design, fabrication, and application of [...] Read more.
Three-dimensionally (3D)-printed catalytic structures are revolutionizing catalysis and chemical engineering. Unlike traditional supports, modern triply periodic minimal surfaces (TPMS), lattices, and fractals actively influence mass and heat transfer and flow distribution. This review summarizes advancements in the classification, design, fabrication, and application of 3D-printed catalysts over the past decade. The article covers various constructive types (supports, integrated phases, multifunctional reactors) and materials (polymers, ceramics, metals, hybrids), along with fabrication techniques compliant with ISO/ASTM standards (FDM, SLA, DIW, SLM, EBM). It emphasizes post-processing and functionalization strategies (impregnation, calcination, sulfonation) and characterization tools (SAXS, CT, synchrotron-based techniques). A critical comparison highlights advantages, including tunable geometry, improved hydrodynamics, lower pressure drop, enhanced durability, and reproducibility. Three-dimensionally printed catalysts are an interdisciplinary platform combining materials science, chemical engineering, and digital manufacturing. They hold promise for sustainable chemistry, modular production, CO2 utilization, photocatalysis, and biocatalysis, making them a key innovation for future catalytic reactors. Full article
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24 pages, 2267 KB  
Systematic Review
Comparative Evaluation of Mechanical Properties Between CAD/CAM-Milled and 3D-Printed Dental Zirconia: A Systematic Review and Meta-Analysis
by Mohammed A. Alrabiah
Materials 2025, 18(22), 5112; https://doi.org/10.3390/ma18225112 - 11 Nov 2025
Viewed by 1056
Abstract
The field of dental restorations continues to demand durable prosthetic materials with a focus on esthetic appeal. This systematic review and meta-analysis compared the mechanical properties and bonding performance of computer-aided design (CAD)/computer-aided manufacturing (CAM)-milled and three-dimensionally (3D) printed zirconia fixed dental prostheses. [...] Read more.
The field of dental restorations continues to demand durable prosthetic materials with a focus on esthetic appeal. This systematic review and meta-analysis compared the mechanical properties and bonding performance of computer-aided design (CAD)/computer-aided manufacturing (CAM)-milled and three-dimensionally (3D) printed zirconia fixed dental prostheses. A systematic search of major databases identified 15 eligible recent in vitro studies. Random-effects meta-analyses (based on standard mean deviation) and heterogeneity (I2) and sensitivity analyses were performed. The meta-analysis showed no significant differences between the groups in flexural strength, hardness, density, bond strength, and fracture toughness. However, heterogeneity remained high, reflecting possible differences in the build orientation, additive manufacturing technique, and sintering protocols. A qualitative analysis of the literature also revealed that milled zirconia was generally associated with greater consistency in strength, hardness, and accuracy. Three-dimensionally printed zirconia, while more variable due to porosity and processing factors, frequently reached clinically acceptable values, with certain orientations achieving flexural and bonding strengths equal to or surpassing those of milled zirconia. Both fabrication methods benefited from surface treatments, and artificial aging confirmed stability within functional ranges. Overall, CAD/CAM-milled zirconia remains the benchmark for predictability; however, advances in additive manufacturing suggest a growing potential for 3D-printed zirconia in complex restorations. Full article
(This article belongs to the Section Biomaterials)
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34 pages, 19922 KB  
Review
Dynamic Covalent Bonds in 3D-Printed Polymers: Strategies, Principles, and Applications
by Trong Danh Nguyen, My Thi Ngoc Nguyen and Jun Seop Lee
Appl. Sci. 2025, 15(21), 11755; https://doi.org/10.3390/app152111755 - 4 Nov 2025
Viewed by 1451
Abstract
Dynamic covalent bonds within polymer materials have been the subject of ongoing research. These bonds impart polymers, particularly thermosets, with capabilities for self-healing and reprocessing. Concurrently, three-dimensional (3D) printing techniques have undergone rapid advancement and widespread adoption. Since polymers are among the primary [...] Read more.
Dynamic covalent bonds within polymer materials have been the subject of ongoing research. These bonds impart polymers, particularly thermosets, with capabilities for self-healing and reprocessing. Concurrently, three-dimensional (3D) printing techniques have undergone rapid advancement and widespread adoption. Since polymers are among the primary materials used in 3D printing, networks featuring dynamic covalent bonds have emerged as a prominent research area. This review outlines approaches for incorporating dynamic covalent bonds into polymers suitable for 3D printing and examines representative studies that leverage these chemistries in material design. Polymers produced using these strategies demonstrate both self-healing and reprocessability, primarily via bond-exchange (metathesis) reactions. In addition, we discuss how the type and amount of dynamic bonds in the network affect the resulting material properties, with particular emphasis on their mechanical, physical, and thermal performance. In particular, the introduction of dynamic covalent bonds seems to significantly improve the degree of anisotropy, which has been the limitation of 3D printing techniques. Finally, we compile recent applications for objects printed from polymers that include dynamic covalent bonds. Full article
(This article belongs to the Section Additive Manufacturing Technologies)
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15 pages, 2933 KB  
Article
Does Intraoperative Navigation Improve K-Wire Positioning in Reverse Shoulder Arthroplasty?—A New Approach
by Timo Blaszczyk, Georg Gosheger, Jonathan Wohlmuth and Vincent Hofbauer
J. Pers. Med. 2025, 15(11), 509; https://doi.org/10.3390/jpm15110509 - 29 Oct 2025
Viewed by 594
Abstract
Background/Objectives: In reverse shoulder arthroplasty (RSA), precise K-wire positioning of the glenoid component is critical to prevent complications such as glenoid loosening or instability as well as premature implant failure. Optimal component placement must adhere to individualized preoperative plans to account for patient-specific [...] Read more.
Background/Objectives: In reverse shoulder arthroplasty (RSA), precise K-wire positioning of the glenoid component is critical to prevent complications such as glenoid loosening or instability as well as premature implant failure. Optimal component placement must adhere to individualized preoperative plans to account for patient-specific anatomical conditions. Conventional methods often fail to achieve this level of accuracy, undermining the need for personalized medicine. Intraoperative navigation systems are growing in use to improve accuracy in orthopedic surgery. This study aimed to compare the accuracy of K-wire positioning in a 3D-printed model of the scapula using conventional versus navigated methods. Methods: We recruited 20 participants: 10 experienced surgeons and 10 inexperienced medical students. Each participant performed four K-wire drillings—two with conventional instruments and two with an intraoperative navigation system. A novel target system, BoneTrack3D, was used to measure accuracy. We assessed the absolute deviation of the entry and exit points as well as the three-dimensional drilling angle. Results: The navigated method was significantly more accurate for all measured parameters at a family-wise significance level of α = 0.05. The median absolute deviation for the entry point was 1.6 mm with navigation versus 3.0 mm with the conventional method (p < 0.001). Similarly, the exit point deviation was 1.8 mm with navigation versus 6.7 mm conventionally (p < 0.001). The drilling angle deviation also showed significant improvement with navigation, at 2.6° compared to 8.9° conventionally (p < 0.001). However, the navigated method took longer, with a median drilling time of 100.0 s compared to 55.0 s for the conventional method (p < 0.001). The navigated method provided consistent and superior results regardless of a participant’s surgical experience. Conclusions: Navigated techniques for K-wire positioning in RSA demonstrate enhanced accuracy in a 3D-printed model, effectively executing a precise, patient-specific preoperative plan. This could be a direct contribution to personalized medicine, ensuring the final implant alignment is tailored to the individual’s anatomy. Furthermore, intraoperative navigation may contribute to a flatter learning curve, thereby increasing accessibility for surgeons with varying levels of experience. Although navigation introduces additional costs and longer initial procedure times, these drawbacks could be offset by improved technical outcomes and a reduced risk of complications. Future studies, including randomized clinical trials and cost-effectiveness analyses, should seek to validate these results in clinical settings with longer follow-up periods and larger patient cohorts to define long-term value and utility of navigation systems in reverse shoulder arthroplasty. Full article
(This article belongs to the Special Issue Arthroplasty and Personalized Medicine: Updates and Challenges)
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17 pages, 3124 KB  
Article
Fit Accuracy of Plate-Type Retainers Fabricated Using Dental CAD/CAM Systems: A Controlled In Vitro Comparison Using Typodont-Derived Models
by Kosuke Nomi, So Koizumi, Masatoshi Shimura, Kazuhide Seimiya, Osamu Nikaido, Heetae Park, Reina Hatanaka, Masahiro Takahashi, Shinya Fuchida and Tetsutaro Yamaguchi
Dent. J. 2025, 13(11), 487; https://doi.org/10.3390/dj13110487 - 23 Oct 2025
Viewed by 568
Abstract
Objectives: This study aimed to compare the fit accuracy between retainers fabricated using conventional cold-curing resin (hereinafter referred to as “conventional retainers”) and those fabricated using three-dimensional (3D) printing based on computer-aided design/computer-aided manufacturing (CAD/CAM) technology (hereinafter referred to as “CAD/CAM retainers”). Furthermore, [...] Read more.
Objectives: This study aimed to compare the fit accuracy between retainers fabricated using conventional cold-curing resin (hereinafter referred to as “conventional retainers”) and those fabricated using three-dimensional (3D) printing based on computer-aided design/computer-aided manufacturing (CAD/CAM) technology (hereinafter referred to as “CAD/CAM retainers”). Furthermore, the study aimed to compare two different methods to evaluate the fit accuracy: the impression replica technique and the 3D triple-scan protocol. Methods: For each of the 20 working models derived from a maxillary typodont, one conventional retainer and one CAD/CAM retainer were fabricated. The fit accuracy was evaluated using the impression replica technique and the 3D triple-scan protocol. Measurements were taken at 12 points on each model, and the differences in thickness (gap) were analyzed using Wilcoxon’s signed-rank test. Moreover, the correlation between thickness and measurement site was evaluated using Spearman’s rank correlation coefficient. Results: In both evaluation methods, the CAD/CAM retainers exhibited superior fit accuracy compared to the conventional retainers. Notably, the 3D triple-scan protocol clearly demonstrated that the fit accuracy differed depending on the measurement site. Conclusions: CAD/CAM retainers demonstrated superior fit accuracy compared to conventional retainers, possibly because digital design can account for polymerization shrinkage. In the impression replica technique, the median (interquartile range) thickness for the conventional retainers was 0.169 (0.120–0.260) mm, whereas that for the CAD/CAM retainers was 0.136 (0.096–0.198) mm. The CAD/CAM retainers showed significantly smaller gap values (p < 0.001). Within the limitations of this in vitro study, CAD/CAM retainers showed significantly smaller gap values than conventional retainers, indicating improved fit accuracy. In particular, the 3D triple-scan protocol accurately captured site-specific variations in fit accuracy among the anterior, canine, and molar regions. Full article
(This article belongs to the Section Digital Technologies)
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35 pages, 1827 KB  
Review
Three-Dimensional Printing in Paediatrics: Innovative Technology for Manufacturing Patient-Centred Drug Delivery Systems
by Nadine Couți, Sonia Iurian, Alina Porfire, Tibor Casian, Rareș Iovanov and Ioan Tomuță
Pharmaceutics 2025, 17(11), 1364; https://doi.org/10.3390/pharmaceutics17111364 - 22 Oct 2025
Cited by 1 | Viewed by 1126
Abstract
Additive manufacturing can be regarded as a game-changing approach for paediatric drug development, as children have special drug-related requirements which are rarely met by conventional technologies. Traditional dosage forms have considerable drawbacks, among them dose, excipient safety, and taste issues, which can be [...] Read more.
Additive manufacturing can be regarded as a game-changing approach for paediatric drug development, as children have special drug-related requirements which are rarely met by conventional technologies. Traditional dosage forms have considerable drawbacks, among them dose, excipient safety, and taste issues, which can be resolved by using three-dimensional (3D) printing. Ease of swallowing and an appealing design are among the improvements brought forth by 3D printing techniques. Techniques that have been thoroughly researched in the paediatric field include hot-melt extrusion (HME) coupled with fused deposition modelling (FDM), direct powder extrusion (DPE) and semisolid extrusion (SSE) 3D printing. Selective Laser Sintering (SLS) 3D bioprinting and binder-jet (BJ) 3D printing are other less known but highly useful techniques. A number of studies focus on significant subjects for the paediatric medicine domain, such as the acceptability of the produced formulations, the size of tablets, the design, the concealment of bitter API flavour, and the stability of the dosage forms. The 3D-printed oral formulations are varied: conventional-sized tablets, miniaturised tablets, chewable tablets, and orodispersible films or tablets. Most of the drugs used in the presented studies are essential medicines for children, for which commercial products with flexible doses and age-appropriate characteristics are often lacking. The practical implications of currently published studies and future directions for paediatric pharmaceutical 3D printing are described. Although there is a substantial amount of technical and in vitro data as well as paediatric engagement work on this subject, its translation into clinical practice is still limited. The clinical efficacy of 3D-printed dosage forms has to be further researched, since only a few studies have targeted this aspect. Full article
(This article belongs to the Special Issue 3D Printing in Personalized Drug Delivery)
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Article
Fracture Characteristics of 3D-Printed Polymer Parts: Role of Manufacturing Process
by Mohammad Reza Khosravani, Payam Soltani, Majid R. Ayatollahi and Tamara Reinicke
J. Manuf. Mater. Process. 2025, 9(10), 339; https://doi.org/10.3390/jmmp9100339 - 16 Oct 2025
Cited by 1 | Viewed by 1221
Abstract
Using traditional methods to fabricate geometrically complicated items was challenging, but Additive Manufacturing (AM) has made it possible. Although AM (3D printing) was first developed to produce prototypes, in recent years it has also been utilized for the fabrication of end-use products. As [...] Read more.
Using traditional methods to fabricate geometrically complicated items was challenging, but Additive Manufacturing (AM) has made it possible. Although AM (3D printing) was first developed to produce prototypes, in recent years it has also been utilized for the fabrication of end-use products. As a result, the mechanical strength of AMed parts has gained considerable significance. Three-dimensional printing has proved its capabilities in the fabrication of customizable parts with complex geometries. In the current study, the effects of manufacturing parameters on the mechanical strength and the fracture behavior of 3D-printed components have been investigated. To this aim, we fabricated specimens using Polyethylene Terephthalate Glycol (PETG) and the Fused Deposition Modeling (FDM) process. Particularly, the dumbbell-shaped and Single Edge Notched Bend (SENB) specimens were fabricated and examined to determine their tensile and fracture behaviors. Particularly, the notches in SENB specimens were introduced by two different techniques to investigate the influence of the manufacturing process on the mechanical performance of 3D-printed PETG parts. Moreover, finite element simulations were conducted to investigate the fracture behavior of the parts. The results indicate that the fracture loads of 3D-printed and milled parts are 599.1 N and 417.2 N, respectively. In addition, experiments confirm brittle fracture with no plastic deformation in all specimens with 3D-printed and milled notches. The outcomes of this study can be used for the future designs of FDM 3D-printed parts with a better structural performance. Full article
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