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Two South African Cancer Patients Receive 3D Printed Titanium Jaw Implants

jigmypig (3675225) writes "Two patients in South Africa that have had their lives and more specifically their jaws severely affected by cancer, have just received 3D printed jaw implants. The jaws were 3D printed using a laser sintering process that melts powdered titanium, one layer at a time. The process saves a ton of money, and unlike traditional manufacturing of titanium jaws, it doesn't waste any materials. Traditional manufacturing wastes up to 80% of the titanium block used in the process, whereas with 3D printing there is little to no waste at all. This new process also allows for a fully customizable solution. The models are drawn up in CAD software, and then printed out to precisely fit the patient."

20 of 71 comments (clear)

  1. You had me at by Henriok · · Score: 2

    You had me at "3D Printed Titanium Jaw Implants". Awesome!

    --

    - Henrik

    - when the Shadows descend -
    1. Re:You had me at by ozmanjusri · · Score: 3, Insightful

      You had me at "3D Printed Titanium Jaw Implants". Awesome!

      It's cool, but not really news.

      I was doing some work in Royal Perth Hospital sometime around 2008, and saw a small, beautifully detailed metal skull on one of the managers' desks. I asked him about it and was told he'd taken an MRI of his own skull and had it printed quarter-sized in sintered titanium. It was the best paperweight I've ever seen.

      Cool factor aside, they've been scanning patients' actual bones, optimising them in software and printing titanium replacements (mostly hip joints) there for almost a decade now. There's even a few commercial madical 3d printing companies around AU (Anatomics is one).

      It's great that SA is making jaws for people now though.

      --
      "I've got more toys than Teruhisa Kitahara."
    2. Re:You had me at by flyneye · · Score: 3, Interesting

      They lost me at Titanium Jaw Implants. Titanium has a nasty tendency to foster bacterial growth in spite of its good attributes.
      Gimme a high density plastic any day.
      No I don't care about any sentences beginning with " Research shows..." or " Records prove", as they represent the OPINIONS of those promoting the problem.
      Like asking a car salesman, what the best car on the lot is....

      --
      *Repent!Quit Your Job!Slack Off!The World Ends Tomorrow and You May Die!
  2. Well, I'm picking my jaw up off the floor... by jeffb+(2.718) · · Score: 2

    No, actually, I'm fortunate enough not to have that option. Still, it's good to see this happening for the people who do.

  3. Waste by Anonymous Coward · · Score: 2, Insightful

    I'm sure the "waste" is recycled. While I'm happy for the advancement I think people stretch a bit too much to make something seem more revolutionary than it is. That doesn't benefit anyone.

  4. Hm. I wonder if the sintering can take a punch? by Anonymous Coward · · Score: 2, Interesting

    Cast is bad enough, but sintering is awful for strength. Horrible.

    If it's FINE enough it should be, er.. fine. I wonder what the fail test is like for this being an orthopedic application, or is that even considered beyond "it's metal"?

  5. I'm disappointed by Nidi62 · · Score: 4, Funny

    They wasted a very valuable opportunity here. The jaws do not have razor sharp jagged teeth nor are either of the recipients over 7 feet tall.

    --
    The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
  6. "Waste" by Mateorabi · · Score: 3, Insightful

    While I find the 3d printing damn cool, the editorializing about the waste struck me as an odd comment for subby to make. I'm guessing that a lot of powder gets left over by this new process just as milling from a solid block leaves shavings. But those should be just as easily melted down and recycled in the next job, so not really wasted. (And if they are thrown away, it means that reusing them just isn't economical, so the 'waste' isn't that valuable anyway.)

    I think the better argument where 3D wins is the ability to get arbitrary shapes that could be impossible to make with traditional machining or casting.

    --
    "You saved 1968." - Ms. Valerie Pringle to the crew of Apollo 8

    1. Re:"Waste" by Anonymous Coward · · Score: 2, Informative

      It might not be economical to recycle shavings for a variety of reasons: made in a shop that processes too many things to keep them separate, contaminated too much with cutting fluids, the recycling process doesn't work well with shavings (some metal melting processes are more expensive with a lot of thing pieces that can oxidize easily while heating up to the melting point), not worth the transport costs or handling for small batches, etc. Still probably cheaper to have not had to refine that metal in the first place, although I don't if that is balanced out by the process of grinding and grading powder for sintering.

      In the end, for small objects that are not mass produced though, the material cost is going to be quite small compare to everything else involved. It will be dwarfed by the design, setup, and manual steps needed. Although if the 3d printing can be done in one go while milling it takes multiple, possibly awkward, mountings of the part, that could be a much larger savings. I've had enough projects that more time is spent mounting a piece to the milling table than actually milling it, especially when you have to make a custom piece to hold it (... or worse, mill something to hold the piece you'll mill to hold what you want to actually make...).

  7. Re:Mill? by EmperorArthur · · Score: 3, Interesting

    When they say 3D printed do they mean a metal mill, or can we 3D print with any random material now?
    And if so, why not use the far more tried tested, and better alternative milling?

    Nope, it's "laser sintering." They take metal powder and fuse it together one layer at a time. You put a layer of metal powder down, the laser fuses it together, then you put another layer of powder over it. Repeat until done.

    The nice thing is all the waste powder can be reused without having to melt it down, so there's almost no waste. The other thing is you can print shapes that are really hard to mill. No more ridiculously complex 6 axes milling machines that the US treats like munitions. Just Google ITER sometime to see the craziness.

    --
    So lets pretend that we've just completed writing this code, as opposed to having just completed sabotaging it -Altera
  8. Re:Mill? by EmperorArthur · · Score: 2

    The nice thing is all the waste powder can be reused without having to melt it down, so there's almost no waste.

    How big of an advantage is that, though? Melting down metal to reuse it is really easy, much easier than with other materials like glass or plastics. Especially in the case where you control the environment and can be assured of its purity, vs. collecting scrap metal or something (but even collecting scrap metal is profitable).

    Well, it's Titanium, so it's probably quite a pain. Titanium has an ignition temperature that's lower than its melting point so you have to work with it in an inert atmosphere, and apparently it's still a pain even then. Given that I'll bet titanium scrap isn't worth a quarter of its value when in block form.

    The article says "each surgery cost just 20% of what a traditional jaw implant surgery would have cost." It doesn't say how much of that was due to not having to recycle 80% of the material and how much of it was because the jaw was made to order. It certainly implied though that a decent bit of the savings was due to laser sinstering.

    You're also forgetting the cost of the multi axis milling machines that this process replaces. If they're even close in price and you're using 80% less material then why wouldn't any manufacturing shop go for it?

    --
    So lets pretend that we've just completed writing this code, as opposed to having just completed sabotaging it -Altera
  9. Re:I wonder if that would work for my small jaw. by Aryeh+Goretsky · · Score: 2

    Hello,

    It might help. You could probably start by contacting the reporter who wrote the article, or the hospitals at which the surgeries were performed to ask for more information.

    Regards,

    Aryeh Goretsky

    --
    Dexter is a good dog.
  10. You suck ... by CaptainDork · · Score: 2

    I'm so disappointed that you posted as AC.

    I wanted to tell you that you suck.

    You suck.

    --
    It little behooves the best of us to comment on the rest of us.
  11. Re:Hm. I wonder if the sintering can take a punch? by Bing+Tsher+E · · Score: 2

    It has to be as durable as the bone it is fitted into. Titanium is used in prosthetics because it is the most biocompatible metal, not so much for it's hardness.

  12. Re:Cancer Hope by 50000BTU_barbecue · · Score: 2

    You wrote a book and can't tell affect from effect?

    --
    Mostly random stuff.
  13. Re:Hm. I wonder if the sintering can take a punch? by EvolutionInAction · · Score: 3, Interesting

    If I remember this correctly, sintering is actually one of the favoured manufacturing methods for implants. Something about how you can make the material surfaces porous enough for tissue to hold on to, which traditional machining simply cannot match.

    I've no doubt that sintered parts have undergone failure testing and found acceptable. Do you know the level of regulation for a medical implant? It's insane.

  14. Re:Hm. I wonder if the sintering can take a punch? by Collective+0-0009 · · Score: 4, Funny

    Do you know the level of regulation for a medical implant? It's insane.

    If you have received a sintered jaw in the last 5 years and have experienced headaches, nausea, aches, pains, shortness of breathe, loose stool, fungus, rashes, upset stomach, or death, call 1800-876-9876 to get the money you deserve

    --
    I finally updated my sig, but now it's lame.
  15. Good enough and other benefits by dbIII · · Score: 2

    It's porous but that actually helps with incorporation into the body. I'm a bit out of touch now but in 1999 experiments with implanting porous titanium implants treated in caustic soda into mice resulted in very strong metal to bone connections after only a few weeks.
    So while it's horrible strength compared with solid titanium outside the body it's very likely to be higher strength inside the body than a solid implant.
    Besides, bone is not very strong in comparison to titanium - which actually has been a problem with metal joints for years since the metal grinds away at the bone it is inserted into. Typically that's why metal joints have been replaced - the metal bits are fine but the bone they are connected to has worn down and a longer joint is required.

  16. Re:Don't Call it Waste by dbIII · · Score: 2

    The machined Ti is reclaimed

    It's not easy to reclaim (titanium oxidises very easily so the scrap has to be reduced again, almost as hard as getting it out of sand in the first place) and the consumable costs to machine it are not trivial. Your cutting tools are ripping into titanium oxide, and guess what a lot of the cutting edges of those tools are made of? You can't guess? The answer is stuff like titanium nitride which is not a lot harder, so the tools wear down very rapidly. Using diamond doesn't help much either. It's a very slow and expensive way to do things but used to be better than any other way available.
    This development is interesting because now it is available it's a lot easier than your "just mill it out of a block" suggestion which is why it's being discussed at all.

    given the inherent porosity of sintered material that give purchase for pathogens

    The milled stuff has been treated for years to produce a porous surface to allow bone to grow into it. I heard a paper presented on that in 1999 by some Japanese and Californian researchers and it's apparently become standard practice since.

  17. Re:Hm. I wonder if the sintering can take a punch? by Assmasher · · Score: 2

    I was seriously wondering that myself since titanium is difficult to deal with despite the fact that aerospace engineers would like to use it for a large number of parts, so I did a quick Google and I found this:

    "Tests by EOS customers have compared the properties of laser-sintered titanium parts to those of cast or wrought titanium parts, and found that the DMLS parts can have significantly better mechanical properties. Typically, titanium parts made with DMLS have an ultimate tensile strength of 1,200Mpa + 30Mpa (175ksi + 4ksi), comparable to or stronger than conventionally manufactured titanium components"

    Now, that should be taken with a grain of salt since it was provided by a company that does Direct Metal Laser Sintering, but it certainly sounds damn good.

    Just be careful, you have to use low oxygen contents in the powder itself and argon to work in since it is HIGHLY reactive in its molten state.

    I'm sure it is hysterically expensive right now, but has huge potential since traditional titanium work is both hard on machines/tool and requires lots of cooling.

    Very, very cool.

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