A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis

This study aims to carry out a risk assessment to identify and rectify potential clinical risks of a 3D-printed patient-specific scaffold for large-volume alveolar bone regeneration. A survey was used to assess clinicians’ perceptions regarding the use of scaffolds in the treatment of alveolar defec...

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Main Authors: Ping Qi Lim, Sue Huey Lim, Maria Sherilyn, Tulio Fernandez-Medina, Sašo Ivanovski, Sepanta Hosseinpour
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/15/15/5442
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author Ping Qi Lim
Sue Huey Lim
Maria Sherilyn
Tulio Fernandez-Medina
Sašo Ivanovski
Sepanta Hosseinpour
author_facet Ping Qi Lim
Sue Huey Lim
Maria Sherilyn
Tulio Fernandez-Medina
Sašo Ivanovski
Sepanta Hosseinpour
author_sort Ping Qi Lim
collection DOAJ
description This study aims to carry out a risk assessment to identify and rectify potential clinical risks of a 3D-printed patient-specific scaffold for large-volume alveolar bone regeneration. A survey was used to assess clinicians’ perceptions regarding the use of scaffolds in the treatment of alveolar defects and conduct a clinical risk assessment of the developed scaffold using the Failure Modes and Effects Analysis (FMEA) framework. The response rate was 69.4% with a total of 41 responses received. Two particular failure modes were identified as a high priority through the clinical risk assessment conducted. The highest mean Risk Priority Number was obtained by “failure of healing due to patient risk factors” (45.7 ± 27.7), followed by “insufficient soft tissue area” (37.8 ± 24.1). Despite the rapid developments, finding a scaffold that is both biodegradable and tailored to the patient’s specific defect in cases of large-volume bone regeneration is still challenging for clinicians. Our results indicate a positive perception of clinicians towards this novel scaffold. The FMEA clinical risk assessment has revealed two failure modes that should be prioritized for risk mitigation (safe clinical translation). These findings are important for the safe transition to in-human trials and subsequent clinical use.
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spelling doaj.art-d4d19b62755940c49b100800efe771672023-12-01T23:01:40ZengMDPI AGMaterials1996-19442022-08-011515544210.3390/ma15155442A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects AnalysisPing Qi Lim0Sue Huey Lim1Maria Sherilyn2Tulio Fernandez-Medina3Sašo Ivanovski4Sepanta Hosseinpour5School of Dentistry, The University of Queensland, Brisbane 4006, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaThis study aims to carry out a risk assessment to identify and rectify potential clinical risks of a 3D-printed patient-specific scaffold for large-volume alveolar bone regeneration. A survey was used to assess clinicians’ perceptions regarding the use of scaffolds in the treatment of alveolar defects and conduct a clinical risk assessment of the developed scaffold using the Failure Modes and Effects Analysis (FMEA) framework. The response rate was 69.4% with a total of 41 responses received. Two particular failure modes were identified as a high priority through the clinical risk assessment conducted. The highest mean Risk Priority Number was obtained by “failure of healing due to patient risk factors” (45.7 ± 27.7), followed by “insufficient soft tissue area” (37.8 ± 24.1). Despite the rapid developments, finding a scaffold that is both biodegradable and tailored to the patient’s specific defect in cases of large-volume bone regeneration is still challenging for clinicians. Our results indicate a positive perception of clinicians towards this novel scaffold. The FMEA clinical risk assessment has revealed two failure modes that should be prioritized for risk mitigation (safe clinical translation). These findings are important for the safe transition to in-human trials and subsequent clinical use.https://www.mdpi.com/1996-1944/15/15/5442bone substitutesscaffoldalveolar bone graftingguided tissue regenerationadditive manufacturingrisk analysis
spellingShingle Ping Qi Lim
Sue Huey Lim
Maria Sherilyn
Tulio Fernandez-Medina
Sašo Ivanovski
Sepanta Hosseinpour
A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
Materials
bone substitutes
scaffold
alveolar bone grafting
guided tissue regeneration
additive manufacturing
risk analysis
title A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
title_full A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
title_fullStr A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
title_full_unstemmed A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
title_short A Clinical Risk Assessment of a 3D-Printed Patient-Specific Scaffold by Failure Modes and Effects Analysis
title_sort clinical risk assessment of a 3d printed patient specific scaffold by failure modes and effects analysis
topic bone substitutes
scaffold
alveolar bone grafting
guided tissue regeneration
additive manufacturing
risk analysis
url https://www.mdpi.com/1996-1944/15/15/5442
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