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Article
Publication date: 5 May 2022

Omar Alageel

Three-dimensional (3D) printing technologies have gained attention in dentistry because of their ability to print objects with complex geometries with high precision and accuracy…

Abstract

Purpose

Three-dimensional (3D) printing technologies have gained attention in dentistry because of their ability to print objects with complex geometries with high precision and accuracy, as well as the benefits of saving materials and treatment time. This study aims to explain the principles of the main 3D printing technologies used for manufacturing dental prostheses and devices, with details of their manufacturing processes and characteristics. This review presents an overview of available 3D printing technologies and materials for dental prostheses and devices.

Design/methodology/approach

This review was targeted to include publications pertaining to the fabrication of dental prostheses and devices by 3D printing technologies between 2012 and 2021. A literature search was carried out using the Web of Science, PubMed, Google Scholar search engines, as well as the use of a manual search.

Findings

3D printing technologies have been used for manufacturing dental prostheses and devices using a wide range of materials, including polymers, metals and ceramics. 3D printing technologies have demonstrated promising experimental outcomes for the fabrication of dental prostheses and devices. However, further developments in the materials for fixed dental prostheses are required.

Originality/value

3D printing technologies are effective and commercially available for the manufacturing of polymeric and metallic dental prostheses. Although the printing of dental ceramics and composites for dental prostheses is promising, further improvements are required.

Details

Rapid Prototyping Journal, vol. 28 no. 9
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 30 September 2022

Melike Şahinol

This paper examines the extent to which 3D printed children's prostheses function as enabling technology. The focus lies on the experiences of children with upper limb body…

Abstract

Purpose

This paper examines the extent to which 3D printed children's prostheses function as enabling technology. The focus lies on the experiences of children with upper limb body differences using 3D printed prostheses in the context of (posthuman) cyborg theories.

Design/methodology/approach

This article is based on several years of field research applying a grounded theory approach. (Health) technology and the body are examined with special regard to the vulnerability of the technology user who is, also, the technology designer. Taking these children's particular vulnerability and sensitivity into account, the method of “cultural probes” was further developed applying distributed socio-(bio-)technical probes, which conceive soma design as the matter of a socio-material world.

Findings

It was shown that the e-NABLE device is not only a socially enabling somatechnic but can itself be limiting, vulnerable and painful for children due to its materiality. The somatechnical construction of children's bodies and identities are presented as heroic figures, which, in part, produces and experiences a corporeal being that is based on and identifies with these heroes and heroines – but may not always be in the interests of children with disabilities. In order to meet these children's needs, the author argues in line with crip technoscience that 3D printed prostheses should be co-developed with (and specifically for) them.

Originality/value

This paper is the first of its kind to consider the daily lives of children with 3D printed prostheses and their experiences as knowers and makers of such. This paper adds to the body of knowledge in the field of crip technoscience and enabling technologies.

Peer review

The peer review history for this article is available at: https://publons.com/publon 10.1108/JET-02-2022-0017

Details

Journal of Enabling Technologies, vol. 16 no. 3
Type: Research Article
ISSN: 2398-6263

Keywords

Open Access
Article
Publication date: 28 August 2021

Luca Gabriele De Vivo Nicoloso, Joshua Pelz, Herb Barrack and Falko Kuester

There are over 40 million amputees globally with more than 185,000 Americans losing their limbs every year. For most of the world, prosthetic devices remain too expensive and…

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Abstract

Purpose

There are over 40 million amputees globally with more than 185,000 Americans losing their limbs every year. For most of the world, prosthetic devices remain too expensive and uncomfortable. This paper aims to outline advancements made by a multidisciplinary research group, interested in advancing the restoration of human motion through accessible lower limb prostheses.

Design/methodology/approach

Customization, comfort and functionality are the most important metrics reported by prosthetists and patients. The work of this paper presents the design and manufacturing of a custom made, cost-effective and functional three-dimensional (3D) printed transtibial prosthesis monocoque design. The design of the prosthesis integrates 3D imaging, modelling and optimization techniques coupled with additive manufacturing.

Findings

The successful fabrication of a functional monocoque prosthesis through 3D printing indicates the workflow may be a solution to the worldwide accessibility crisis. The digital workflow developed in this work offers great potential for providing prosthetic devices to rural communities, which lack access to skilled prosthetic physicians. The authors found that using the workflow together with 3D printing, this study can create custom monocoque prostheses (Figure 16). These prostheses are comfortable, functional and properly aligned. In comparison with traditional prosthetic devices, the authors slowered the average cost, weight and time of production by 95%, 55% and 95%, respectively.

Social implications

This novel digital design and manufacturing workflow has the potential to democratize and globally proliferate access to prosthetic devices, which restore the patient’s mobility, quality of life and health. LIMBER’s toolbox can reach places where proper prosthetic and orthotic care is not available. The digital workflow reduces the cost of making custom devices by an order of magnitude, enabling broader reach, faster access and improved comfort. This is particularly important for children who grow quickly and need new devices every few months or years, timely access is both physically and psychologically important.

Originality/value

In this manuscript, the authors show the application of digital design techniques for fabricating prosthetic devices. The proposed workflow implements several advantageous changes and, most importantly, digitally blends the three components of a transtibial prosthesis into a single, 3D printable monocoque device. The development of a novel unibody transtibial device that is properly aligned and adjusted digitally, greatly reduces the number of visits an amputee must make to a clinic to have a certified prosthetist adjust and modify their prosthesis. The authors believe this novel workflow has the potential to ease the worldwide accessibility crisis for prostheses.

Details

Rapid Prototyping Journal, vol. 27 no. 11
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 18 April 2017

Qing Han, Yanguo Qin, Yun Zou, Chenyu Wang, Haotian Bai, Tao Yu, Lanfeng Huang and Jincheng Wang

Although proximal row carpectomy, wrist arthrodesis and even total wrist arthroplasty were developed to treat wrist disease using bone and cartilage of the wrist, severe and…

Abstract

Purpose

Although proximal row carpectomy, wrist arthrodesis and even total wrist arthroplasty were developed to treat wrist disease using bone and cartilage of the wrist, severe and complicated bone defects caused by ferocious trauma and bone tumors remain a stubborn problem for surgeons. Development and application of the three-dimensional (3D) printing technology may provide possible solutions.

Design/methodology/approach

Computed tomography (CT) data of three cases with severe bone defects caused by either trauma or bone tumor were collected and converted into three-dimensional models. Prostheses were designed individually according to the residual anatomical structure of the wrist based on the models. Both the models and prostheses were produced using 3D printing technology. A preoperative design was prepared according to the models and prostheses. Then arthroplasty was performed after preoperative simulation with printed models and prostheses.

Findings

The diameter of the stem and radial medullary cavity, the direction and location of the prosthesis, and other components were checked during the preoperative design and simulation process phases. The three cases with 3D printed wrist all regained reconstruction of normal anatomy and part of the function after surgery. The average increasing Cooney score rate of Cases 2 and 3 was 133.34 ± 23.57 per cent, and that of Case 1 reached 85 per cent. The average declining rate of the Gartland and Werley Score in Cases 2 and 3 was 65.21 ± 18.89 per cent, and that of Case 1 dropped to 5 per cent in the last follow-up. The scores indicated that patients experienced pain relief and function regain. In addition, the degree of patient satisfaction improved.

Originality/value

3D printed wrist arthroplasty may provide an effective method for severe and complicated cases without sacrificing other bones. Personal customization can offer better anatomy and function than arthrodesis or other traditional surgical techniques.

Details

Rapid Prototyping Journal, vol. 23 no. 3
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 13 October 2022

Smitkumar Savsani, Shamsher Singh and Harlal Singh Mali

Medical devices are undergoing rapid changes because of the increasing affordability of advanced technologies like additive manufacturing (AM) and three-dimensional scanning. New…

Abstract

Purpose

Medical devices are undergoing rapid changes because of the increasing affordability of advanced technologies like additive manufacturing (AM) and three-dimensional scanning. New avenues are available for providing solutions and comfort that were not previously conceivable. The purpose of this paper is to provide a comprehensive review of the research on developing prostheses using AM to understand the opportunities and challenges in the domain. Various studies on prosthesis development using AM are investigated to explore the scope of integration of AM in prostheses development.

Design/methodology/approach

A review of key publications from the past two decades was conducted. Integration of AM and prostheses development is reviewed from the technologies, materials and functionality point of view to identify challenges, opportunities and future scope.

Findings

AM in prostheses provides superior physical and cognitive ergonomics and reduced cost and delivery time. Patient-specific, lightweight solutions for complex designs improve comfort, functionality and clinical outcomes. Compared to existing procedures and methodologies, using AM technologies in prosthetics could benefit a large population.

Originality/value

This paper helps investigate the impact of AM and related technology in the field of prosthetics and can also be viewed as a collection of relevant medical research and findings.

Details

Rapid Prototyping Journal, vol. 29 no. 4
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 18 October 2018

Zuhao Li, Chenyu Wang, Chen Li, Zhonghan Wang, Fan Yang, He Liu, Yanguo Qin and Jincheng Wang

This paper aims to review the latest applications in terms of three-dimensional printed (3DP) metal implants in orthopedics, and, importantly, the design of 3DP metal implants…

595

Abstract

Purpose

This paper aims to review the latest applications in terms of three-dimensional printed (3DP) metal implants in orthopedics, and, importantly, the design of 3DP metal implants through a series of cases operated at The Second Hospital of Jilin University were presented.

Design/methodology/approach

This paper is available to practitioners who are use 3DP implants in orthopedics. This review began with the deficiency of traditional prostheses and basic concepts of 3DP implants. Then, representative 3DP clinical cases were summarized and compared, and the experiences using customized prostheses and directions for future potential development are also shown.

Findings

The results obtained from the follow-up of clinical applications of 3DP implants show that the 3D designed and printed metal implants could exhibit good bone defect matching, quick and safe joint functional rehabilitation as well as saving time in surgery, which achieved high patient satisfaction collectively.

Originality/value

Single center experiences of 3DP metal implants design were shared and the detailed technical points between various regions were compared and analyzed. In conclusion, the 3DP technology is infusive and will present huge potential to reform future orthopedic practice.

Details

Rapid Prototyping Journal, vol. 24 no. 8
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 25 October 2023

Lucia Regina and José Aguiomar Foggiatto

Breast cancer is the most diagnosed type of cancer in the world, and mastectomies to remove tumors are still common. An external breast prosthesis (EBP) can be used to minimize…

Abstract

Purpose

Breast cancer is the most diagnosed type of cancer in the world, and mastectomies to remove tumors are still common. An external breast prosthesis (EBP) can be used to minimize the asymmetry, due to the ablation. Some governments do not cover costs of that assistive technology, and women end up using socks and fabric pockets filled with seeds, to simulate the volume lost in the surgery. This study aims to offer to those women a decent solution, ergonomic, but still affordable.

Design/methodology/approach

The authors interviewed 20 mastectomized Brazilian women, listened to their relate and 3D scanned them, to give rise to personalized external lightweight breast prostheses. The authors used free software for computer-aided design and computer-aided manufacturing, and low-cost 3D printers. From the strategy of bespoke products, this study generalized the method, to conceive mass customized prostheses, in a compromise solution that reduces personalization, conserving the best features of design.

Findings

This study achieved a method to manufacture ergonomic, bespoke external breast prostheses, using low-cost technology. Previous literature made them using expensive scanners, software and printers.

Research limitations/implications

The authors validated this method during pandemic, which restricted the number of patients the authors could have access to. This impacted authors’ possibility to work on matching the color of the final product and real skin. The authors understood, though, that precision of color, in the final product, is challenging, because of the peculiar aspects of human skin.

Originality/value

Using the method the authors proposed, personalized external breast prostheses can be manufactured using low-cost resources, democratizing better quality of life for more breast cancer survivors.

Article
Publication date: 16 November 2021

Wiktoria Maria Wojnarowska, Jakub Najowicz, Tomasz Piecuch, Michał Sochacki, Dawid Pijanka, Jolanta Trybulec and Sławomir Miechowicz

Chicken orthoses that cover the ankle joint area are not commercially available. Therefore, the main purpose of this study is to fabricate a customised temporary Ankle–Foot…

Abstract

Purpose

Chicken orthoses that cover the ankle joint area are not commercially available. Therefore, the main purpose of this study is to fabricate a customised temporary Ankle–Foot Orthosis (AFO) for a chicken with a twisted ankle using computer-aided design (CAD) and three-dimensional (3D) printing. The secondary objective of the paper is to present the specific application of Additive Manufacturing (AM) in veterinary medicine.

Design/methodology/approach

The design process was based on multiple sketches, photos and measurements that were provided by the owner of the animal. The 3D model of the orthosis was made with Autodesk Fusion 360, while the prototype was fabricated using fused deposition modelling (FDM). Evaluation of the AFO was performed using the finite element method.

Findings

The work resulted in a functional 3D printed AFO for chicken. It was found that the orthosis made with AM provides satisfactory stiffen and a good fit. It was concluded that AM is suitable for custom bird AFO fabrication and, in some respects, is superior to traditional manufacturing methods. It was also concluded that the presented procedure can be applied in other veterinary cases and to other animal species and other parts of their body. AM provides veterinary with a powerful tool for the production of well-fitted and durable orthoses for animals.

Research limitations/implications

The study does not include the chicken's opinion on the comfort or fit of the manufactured AFO due to communication issues. Evaluation of the final prototype was done by the researchers and the animal owner.

Originality/value

No evidence was found in the literature on the use of AM for chicken orthosis, so this study is the first to describe such an application of AM. In addition, the study demonstrates the value of AM in veterinary medicine, especially in the production of devices such as orthoses.

Details

Rapid Prototyping Journal, vol. 28 no. 5
Type: Research Article
ISSN: 1355-2546

Keywords

Article
Publication date: 30 August 2022

Tom Bieling, Melike Şahinol, Robert Stock and Anna–Lena Wiechern

This contribution shows perspectives of experts from different disciplines and professional backgrounds in order to elaborate on maker approaches such as do-it-yourself…

Abstract

Purpose

This contribution shows perspectives of experts from different disciplines and professional backgrounds in order to elaborate on maker approaches such as do-it-yourself prosthetics and collaborative tools. As a result, aspects of open source practices related to medical and assistive technologies will be critically reflected upon. In addition, implications of heterogeneous interests, economic implications and everyday achievements of social material assemblages produced through participatory design research are discussed.

Design/methodology/approach

In order to address an interdisciplinary and transdisciplinary perspective on the relationships between body (differences) and technology, it is necessary to bring together studies from both Science and Technology Studies (STS) and crip technoscience as well as approaches from participatory design research and practice. This challenge was addressed by a roundtable organized as part of the third network meeting of the Dis/Ability and Digital Media Research Network on 16 September 2020.

Findings

Against the backdrop of “crip technoscience” DIY and collaborative open source practices are not only understood as valuable alternatives to standardized medical prosthetics and assistive devices. These bottom-up approaches which draw from the expert knowledge of disabled users (Hamraie and Fritsch, 2019) also facilitate devices that defy categories such as “prosthetic” or “medical aid” not only aesthetically but semantically, too.

Originality/value

The Network Dis/Abilities and Digital Media intends to integrate media and technology studies with disability studies on a theoretical level. This round table discussion delivers proof of how – on the practical level – technology and dis/ability need to be thought of as relational and co-constitutive (Mills and Sterne, 2017).

Details

Journal of Enabling Technologies, vol. 16 no. 3
Type: Research Article
ISSN: 2398-6263

Keywords

Article
Publication date: 18 January 2016

Steffan Daniel and Dominic Eggbeer

This paper aims to present novel techniques for designing maxillofacial prostheses using computer-aided design (CAD) and additive manufacture (AM), focusing on the integration of…

Abstract

Purpose

This paper aims to present novel techniques for designing maxillofacial prostheses using computer-aided design (CAD) and additive manufacture (AM), focusing on the integration of osseointegrated retention components. A fully computer-aided approach is considered as a major step towards reducing patient consultation time and an efficient workflow.

Design/methodology/approach

The workflow was illustrated through a phantom model. 3D laser scanning was used to capture the phantom anatomy and pre-fabricated geometric features, which enabled the implant positions to be precisely reverse engineered in the data. A novel CAD workflow was used to design the retention mechanisms and a mould. The individual components were fabricated using AM. A definitive silicone prosthesis that incorporated a bar/clip retention mechanism was then fabricated.

Findings

The research demonstrated that retention components can be integrated into prostheses using appropriate CAD and AM technologies.

Originality/value

This study demonstrates the feasibility of a computer-aided workflow for designing facial prostheses that incorporate osseointegrated retention mechanisms. Novel techniques were developed to: digitise abutment details using custom scanning locators; design retention components; manufacture retention components using AM; integrate retention components into a CAD and AM prosthesis mould. This overcomes limitations identified in previously published cases and demonstrated significant potential to reduce patient consultation time and create a clinically viable process.

Details

Rapid Prototyping Journal, vol. 22 no. 1
Type: Research Article
ISSN: 1355-2546

Keywords

1 – 10 of 224