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Dental implants have revolutionized dentistry, offering effective solutions for missing teeth. The success of implants relies significantly on their surface topography, which influences Osseointegration. This book explores the evolution of surface topography in dental implants and the science behind it. It traces the journey from early implant designs, featuring smooth titanium surfaces with limited osseointegration, to modern, highly engineered surfaces that enhance bone healing and implant stability.The advent of nanotechnology and biomimetic coatings revolutionized the field by creating micro- and nano-scale structures that mimic natural bone, significantly improving Osseointegration and reducing healing times. This book offers a comprehensive look at how Surface Topography, from titanium to PEEK and zirconia, has shaped modern dental implantology and improved patient outcomes.