Background: Polyetheretherketone (PEEK) is a promising implant material due to its superior biomechanical strength. However, due to its hydrophobic nature and lack of cellular adhesion properties, it has poor integration with bone tissue. Methods: A fractional CO2 laser was used with various parameters for surface texturing of PEEK substrate to enhance its surface properties. An optical microscope and field-emission scanning electron microscope (FESEM) were used to examine the surface morphology of untextured and laser-textured samples. Energy dispersive X-ray spectroscopy (EDX) was performed to determine the effect of the laser on the microstructure of PEEK. Surface microroughness, atomic force microscopy (AFM), and wettability were investigated. Results: There were significant increases in microroughness, nanoroughness, surface area ratio, and wettability after laser texturing with no change in the elemental composition. The best results were obtained by using 400 µs laser pulse duration with a dot separation distance of 0.2 mm and a 60° staggered dots pattern. Conclusions: Laser surface texturing of PEEK implant material by fractional CO2 laser is an easy and fast method of introducing patterned topographical features with no need for additional devices. With further investigations, this method of PEEK modification might have the potential to be used in the implant field.

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