3D bioprinting has emerged as a key tool in tissue engineering by facilitating the creation of customized scaffolds with properties tailored to specific needs. Among the design parameters, porosity stands out as a determining factor, as it directly influences critical mechanical and biological properties such as nutrient diffusion, cell adhesion and structural integrity. This review comprehensively analyses the state of the art in scaffold design, emphasizing how porosity-related parameters such as pore size, geometry, distribution and interconnectivity affect cellular behavior and mechanical performance. It also addresses advances in manufacturing methods, such as additive manufacturing and computer-aided design (CAD), which allow the development of scaffolds with hierarchical structures and controlled porosity. In addition, the use of computational modelling, in particular finite element analysis (FEA), as an essential predictive tool to optimize the design of scaffolds under physiological conditions is highlighted. This narrative review analyzed 112 core articles retrieved primarily from Scopus (2014–2025) to provide a comprehensive and up-to-date synthesis. Despite recent progress, significant challenges persist, including the lack of standardized methodologies for characterizing and comparing porosity parameters across different studies. This review identifies these gaps and suggests future research directions, such as the development of unified characterization and classification systems and the enhancement of nanoscale resolution in bioprinting technologies. By integrating structural design with biological functionality, this review underscores the transformative potential of porosity research applied to 3D bioprinting, positioning it as a key strategy to meet current clinical needs in tissue engineering.

Three-dimensional extrusion bioprinting technology aims to become a fundamental tool for tissue regeneration using cell-loaded hydrogels. These biomaterials must have highly specific mechanical and biological properties that allow them to generate biosimilar structures by successive layering of material while maintaining cell viability. The rheological properties of hydrogels used as bioinks are critical to their printability. Correct printability of hydrogels allows the replication of biomimetic structures, which are of great use in medicine, tissue engineering and other fields of study that require the three-dimensional replication of different tissues. When bioprinting cell-loaded hydrogels, a small amount of culture medium can be added to ensure adequate survival, which can modify the rheological properties of the hydrogels. GelMA is a hydrogel used in bioprinting, with very interesting properties and rheological parameters that have been studied and defined for its basic formulation. However, the changes that occur in its rheological parameters and therefore in its printability, when it is mixed with the culture medium necessary to house the cells inside, are unknown. Therefore, in this work, a comparative study of GelMA 100% and GelMA in the proportions 3:1 (GelMA 75%) and 1:1 (GelMA 50%) with culture medium was carried out to determine the printability of the gel (using a device of our own invention), its main rheological parameters and its toxicity after the addition of the medium and to observe whether significant differences in cell viability occur. This raises the possibility of its use in regenerative medicine using a 3D extrusion bioprinter.

3D bioprinting is a promising technique for creating artificial tissues and organs. One of the main challenges of bioprinting is cell damage, due to high pressures and tensions. During the biofabrication process, extrusion bioprinting usually results in low cell viability, typically ranging from 40% to 80%, although better printing performance with higher cell viability can be achieved by optimising the experimental design and operating conditions, with nozzle geometry being a key factor. This article presents a review of studies that have used computational fluid dynamics (CFD) to optimise nozzle geometry. They show that the optimal ranges for diameter and length are 0.2 mm to 1 mm and 8 mm to 10 mm, respectively. In addition, it is recommended that the nozzle should have an internal angle of 20 to 30 degrees, an internal coating of ethylenediaminetetraacetic acid (EDTA), and a shear stress of less than 10 kPa. In addition, a design of experiments technique to obtain an optimal 3D bioprinting configuration for a bioink is also presented. This experimental design would identify bioprinting conditions that minimise cell damage and improve the viability of the printed cells.

Tissue engineering is a continuously evolving field. One of the main lines of research in this field focuses on the replacement of bone defects with materials designed to interact with the cells of a living organism in order to provide the body with a structure on which new tissues can easily grow. Among the most commonly used materials are bioglasses, which are frequently used due to their versatility and good properties. This article discusses the results of the production of an injectable paste of Bioglass® 45S5 and hydroxyapatite on a 3D printed porous structure by additive manufacturing, using a thermoplastic (PLA). The results were evaluated in a specific application of the paste, so the mechanical and bioactive properties were studied to show the multiple possibilities of using this combination for its application in regenerative medicine and more specifically in bone implants.

The creation of natural bioinks suitable for three-dimensional (3D) bioprinting remains a significant challenge in developing functional and biocompatible materials for tissue engineering. In this work, a novel bioink formulation was designed using food-grade polysaccharides, κ-carrageenan (KC), tragacanth gum (TG), and konjac glucomannan (KG), and thoroughly evaluated. Each component was tested at varying concentrations through rheological analysis, in vitro cytotoxicity assays (MTS test with HEK293T cells), and printability assessments using a commercial bioprinter. Optimal concentration ranges were identified as ≥2% for KC, ≥1.5% for TG, and 1.5–2% for KG, which were then combined into two candidate hydrogel formulations (A and B). Both exhibited viscoelastic behavior and pseudoplastic flow characteristics. Formulation B (2% KG) demonstrated greater structural rigidity (G′ ≈ 40 kPa) and excellent print fidelity (>84%) under multiple extrusion conditions, while formulation A (1.5% KG), though mechanically less robust, showed superior biocompatibility, achieving 86.5% cell viability after 24 h and 82.1% after 48 h. Overall, the study underscores the promise of food-derived polysaccharides as sustainable and customizable bioink components, with potential applications in engineered tissue scaffolds, in vitro models, and biocompatible 3D-printed systems.

The development of printable, conductive, and biocompatible hydrogels has emerged as a promising strategy for the next generation of flexible and soft sensor platforms. In this study, we present a systematic investigation of alginate-based hydrogels incorporating different carbonaceous materials, natural graphite, carbon black (Vulcan V3), and activated carbon (PCO1000C), to evaluate their suitability for sensor applications. Hydrogels were formulated with varying concentrations of sodium alginate and a fixed loading of carbon additives. Each composite was characterized in terms of electrical conductivity under compression, rheological behavior, and mechanical strength. Printability was assessed using a custom-designed extrusion platform that allowed for the precise determination of the minimum force and optimal conditions required to extrude each formulation through a standard 20G nozzle. Among all tested systems, the alginate–graphite hydrogel demonstrated superior extrudability, shear-thinning behavior, and shape fidelity, making it well-suited for 3D printing or direct ink writing. A simple conductivity-testing device was developed to verify the electrical response of each hydrogel in the hydrated state. The effects of different drying methods on the final conductivity were also analyzed, showing that oven drying at 50 °C yielded the highest restoration of conductive pathways. Mechanical tests on printed structures confirmed their ability to maintain shape and resist compressive forces. Finally, the biocompatibility of the printed alginate–graphite hydrogel was validated using a standard cytotoxicity assay. The results demonstrated high cell viability, confirming the material’s potential for use in biomedical sensing environments. This work offers a robust framework for the development of sustainable, printable, and biocompatible conductive hydrogels. The combined performance in printability, mechanical integrity, electrical conductivity, and cytocompatibility highlights their promise for flexible biosensors and wearable sensor technologies.