Publications

3D-printing has emerged as a leading technology for fabricating personalized scaffolds for bone regeneration. Among the 3D-printing technologies, vat photopolymerization (VP) stands out for its high precision and versatility. It enables the creation of complex, patient-specific scaffolds with advanced pore architectures that enhance mechanical stability and promote cell growth, key factors for effective bone regeneration. This review provides an overview of the advances made in vat photopolymerization printing of calcium phosphates, covering both the fabrication of full ceramic bodies and polymer-calcium phosphate composites. The review examines key aspects of the fabrication process, including slurry composition, architectural design, and printing accuracy, highlighting their impact on the mechanical and biological performance of 3D-printed scaffolds. The need to tailor porosity, pore size, and geometric design to achieve both mechanical integrity and biological functionality is emphasized by a review of data published in the recent literature. This review demonstrates that advanced geometries like Triply Periodic Minimal Surfaces and nature-inspired designs, achievable with exceptional precision by this technology, enhance mechanical and osteogenic performance. In summary, VP's versatility, driven by the diversity of material options, consolidation methods, and precision opens new horizons for scaffold-based bone regeneration.

JTD Keywords: 3d printing, Additive manufacturing, Bioceramic scaffolds, Bone regeneratio, Ceramic scaffolds, Composite scaffolds, Fabrication, Ha scaffolds, Hydroxyapatite, Hydroxyapatite scaffolds, Mechanical-properties, Regeneratio, Scaffold, Stereolithography, Titanium surfaces, Vat polymerization

Bone regeneration often fails due to implants/grafts lacking vascular supply, causing necrotic tissue and poor integration. Microsurgical techniques are used to overcome this issue, allowing the graft to anastomose. These techniques have limitations, including severe patient morbidity and current research focuses on stimulating angiogenesis in situ using growth factors, presenting limitations, such as a lack of control and increased costs. Non-biological stimuli are necessary to promote angiogenesis for successful bone constructs. Recent studies have reported that bioactive glass dissolution products, such as calcium-releasing nanoparticles, stimulate hMSCs to promote angiogenesis and new vasculature. Moreover, the effect of 3D microporosity has also been reported to be important for vascularisation in vivo. . Therefore, we used room-temperature extrusion 3D printing with polylactic acid (PLA) and calcium phosphate (CaP) based glass scaffolds, focusing on geometry and solvent displacement for scaffold recovery. Combining both methods enabled reproducible control of 3D structure, porosity, and surface topography. Scaffolds maintained calcium ion release at physiological levels and supported human mesenchymal stem cell proliferation. Scaffolds stimulated the secretion of vascular endothelial growth factor (VEGF) after 3 days of culture. Subcutaneous implantation in vivo indicated good scaffold integration and blood vessel infiltration as early as one week after. PLA-CaP scaffolds showed increased vessel maturation 4 weeks after implantation without vascular regression. Results show PLA/CaP-based glass scaffolds, made via controlled 3D printing, support angiogenesis and vessel maturation, promising improved vascularization for bone regeneration.

JTD Keywords: 3d-printed porosity, Angiogenic growth-factors, Bioceramic scaffolds, Bone angiogenesis, Calcium phosphat, Calcium-phosphate, Cells, Composite, Extracellular calcium, Functional-role, In-vitro, Inorganic trace-elements, Matri, Polylactic acid, Regeneration