To examine the application and significance of 3D printing technology in pavement maintenance engineering, a review of the current developments in principles, types, materials, and equipment for 3D printing was conducted. A comparison and analysis of traditional methods and 3D printing for asphalt pavement maintenance led to an investigation of 3D asphalt printing technologies and equipment. As a result, the following suggestions and conclusions are proposed: 3D printing technology can increase the level of automation and standardization of pavement maintenance engineering, leading to effective improvements in worker safety, climate adaptability, repair accuracy, etc. For on-site repair of cracks and minor potholes, utilizing material extrusion technology a mobile 3D asphalt printing robot with a screw extrusion device can be used for accuracy and flexibility. For efficient repair of varying cracks, material jetting technology with a UAV equipped with a 3D printing air-feeding device can be employed.