“…So far, the method of choice for increasing the surface roughness of zirconia has been air-borne particle abrasion [6,8]. However, it is highly possible that this surface modification technique may jeopardize the material’s resistance to low-thermal-degradation (LTD), leading to an increased risk of surface degradation that may subsequently result in premature failure of the implant material [3] Alternative techniques to air-borne particle abrasion, such as selective infiltration-etching (SIE), laser surface modification (CO 2 , Er:YAG, femtosecond laser) and chemical methods (sol-gel, alternate soaking process, bio-mimetic route), have previously been described [17,18,19,20,21,22]. Recently, a new method for zirconia surface modification that combines Al 2 O 3 sandblasting together with acid etching and heat treatment has been documented [23].…”