“…The nonsintered fatty acid/TCP material may be ideal for this purpose as we observed that the degradation rate could be tailored by changing the fatty acid tail length, the lauric acid‐based implants degraded within 24 h, whereas the stearic acid implants were undergoing slow resorption after 8 weeks. This confirms in vivo , our previous in vitro observations that fatty acid tail length correlates with degradation rate and drug release rate (Jensen et al, 2018). Scaffolds made from nanoparticles and microparticles of TCP could in principle trigger particle mediated inflammation, but the average particle size of >6 μm used here should be large enough to avoid this effect that is mainly a problem for particles smaller than 3 μm (Kusaka et al, 2014).…”
Section: Discussionsupporting
confidence: 91%
“…The nonsintered implants were well tolerated. This confirms the findings in our previous studies, where MSCs could grow directly on the implants and where a stearic acid/TCP material was implanted subcutaneously in mice in the form of a granulate, with the subsequent formation of cellular and vascularized bone‐free soft tissue in the granulate (Jensen et al, 2018). A similar tissue was seen to develop in the stearic acid/TCP implants in the present study.…”
Section: Discussionsupporting
confidence: 91%
“…Nonsintered fatty acid/TCP implants are highly hydrophobic, and this may be the reason. In a previous in vitro study (Jensen et al, 2018), we observed that MSCs took longer to attach, spread out, and achieve their fibroblastic shape on nonsintered stearic acid/TCP implants versus sintered TCP implants. It is well known that surface properties like nanotopography and hydrophilicity can modulate osteogenesis (Feller et al, 2015), and several studies have shown that hydrophilic metal implants promote faster bone formation than hydrophobic metal implants (Gittens et al, 2014).…”
Section: Discussionmentioning
confidence: 62%
“…The implants have been extensively characterized with SEM, Raman spectroscopy, mechanical testing, and in vitro cell culture previously (Jensen et al, 2018; Slots et al, 2017). But XRD had not been done to study the retention of the beta phase calcium phosphate during 3D printing and sintering nor had shrinkage during sintering been studied, and these analyses were therefore done (Figure 2a–d).…”
Section: Resultsmentioning
confidence: 99%
“…We recently discovered a new class of bioink that consists of solid particles, such as TCP powder, suspended in a solid fatty acid matrix (Jensen et al, 2018; Slots et al, 2017). When heated above the melting point of the fatty acid, the bioinks melt to become 3D printable by extrusion, even at very high solid loading (60% V/V ).…”
Skull surgery, also known as craniectomy, is done to treat trauma or brain diseases and may require the use of an implant to reestablish skull integrity. This study investigates the performance of 3D printed bone implants in a mouse model of craniectomy with the aim of making biodegradable porous implants that can ultimately be fitted to a patient's anatomy. A nonpolymeric thermoplastic bioink composed of fatty acids and β‐tricalcium phosphate was used to 3D print the skull implants. Some of these were sintered to yield pure β‐tricalcium phosphate implants. The performance of nonsintered and sintered implants was then compared in two semi‐quantitative murine calvarial defect models using computed tomography, histology, and luciferase activity. Both types of implants were biocompatible, but only sintered implants promoted defect healing, with osseointegration to adjacent bone and the formation of new bone and bone marrow tissue in the implant pores. Luciferase scanning and histology showed that mesenchymal stem cells seeded onto the implants engraft and proliferate on the implants after implantation and contribute to forming bone. The experiments indicate that fatty acid‐based 3D printing enables the creation of biocompatible and bone‐forming β‐tricalcium phosphate implants.
“…The nonsintered fatty acid/TCP material may be ideal for this purpose as we observed that the degradation rate could be tailored by changing the fatty acid tail length, the lauric acid‐based implants degraded within 24 h, whereas the stearic acid implants were undergoing slow resorption after 8 weeks. This confirms in vivo , our previous in vitro observations that fatty acid tail length correlates with degradation rate and drug release rate (Jensen et al, 2018). Scaffolds made from nanoparticles and microparticles of TCP could in principle trigger particle mediated inflammation, but the average particle size of >6 μm used here should be large enough to avoid this effect that is mainly a problem for particles smaller than 3 μm (Kusaka et al, 2014).…”
Section: Discussionsupporting
confidence: 91%
“…The nonsintered implants were well tolerated. This confirms the findings in our previous studies, where MSCs could grow directly on the implants and where a stearic acid/TCP material was implanted subcutaneously in mice in the form of a granulate, with the subsequent formation of cellular and vascularized bone‐free soft tissue in the granulate (Jensen et al, 2018). A similar tissue was seen to develop in the stearic acid/TCP implants in the present study.…”
Section: Discussionsupporting
confidence: 91%
“…Nonsintered fatty acid/TCP implants are highly hydrophobic, and this may be the reason. In a previous in vitro study (Jensen et al, 2018), we observed that MSCs took longer to attach, spread out, and achieve their fibroblastic shape on nonsintered stearic acid/TCP implants versus sintered TCP implants. It is well known that surface properties like nanotopography and hydrophilicity can modulate osteogenesis (Feller et al, 2015), and several studies have shown that hydrophilic metal implants promote faster bone formation than hydrophobic metal implants (Gittens et al, 2014).…”
Section: Discussionmentioning
confidence: 62%
“…The implants have been extensively characterized with SEM, Raman spectroscopy, mechanical testing, and in vitro cell culture previously (Jensen et al, 2018; Slots et al, 2017). But XRD had not been done to study the retention of the beta phase calcium phosphate during 3D printing and sintering nor had shrinkage during sintering been studied, and these analyses were therefore done (Figure 2a–d).…”
Section: Resultsmentioning
confidence: 99%
“…We recently discovered a new class of bioink that consists of solid particles, such as TCP powder, suspended in a solid fatty acid matrix (Jensen et al, 2018; Slots et al, 2017). When heated above the melting point of the fatty acid, the bioinks melt to become 3D printable by extrusion, even at very high solid loading (60% V/V ).…”
Skull surgery, also known as craniectomy, is done to treat trauma or brain diseases and may require the use of an implant to reestablish skull integrity. This study investigates the performance of 3D printed bone implants in a mouse model of craniectomy with the aim of making biodegradable porous implants that can ultimately be fitted to a patient's anatomy. A nonpolymeric thermoplastic bioink composed of fatty acids and β‐tricalcium phosphate was used to 3D print the skull implants. Some of these were sintered to yield pure β‐tricalcium phosphate implants. The performance of nonsintered and sintered implants was then compared in two semi‐quantitative murine calvarial defect models using computed tomography, histology, and luciferase activity. Both types of implants were biocompatible, but only sintered implants promoted defect healing, with osseointegration to adjacent bone and the formation of new bone and bone marrow tissue in the implant pores. Luciferase scanning and histology showed that mesenchymal stem cells seeded onto the implants engraft and proliferate on the implants after implantation and contribute to forming bone. The experiments indicate that fatty acid‐based 3D printing enables the creation of biocompatible and bone‐forming β‐tricalcium phosphate implants.
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