The scientifi cally most investigated technique for creating a micro-rough surface topography on dental implants is the sandblasting and acid-etching procedure, creating the well-known, moderately rough SLA surface topography. The sandblasting procedure induces a macro-rough surface topography and is followed by an acid-etching procedure that superimposes the micro-rough topography. This SLA surface can be produced on commercially pure titanium as well as on titanium-zirconium alloys or on zirconium dioxide ceramics. In recent years, this hydrophobic SLA surface has been further developed, by a completely new and elaborated production process, creating a similar SLA topography but with increased chemical activity resulting in surface hydrophilicity and surface energy (modSLA surface). In vitro studies have shown that osteoblasts grown on the SLA surface exhibit properties of highly differentiated bone cells, which suggest that this surface is more osteoconductive compared to smoother surfaces. Compared to SLA, modSLA titanium surfaces further decreased cell proliferation and osteoclast activity and additionally enhanced osteoblastic cell differentiation and production of angiogenic factors. In vivo studies have demonstrated that, in comparison to implants 94