Dental implant biomaterials are expected to be in contact with living tissues, therefore their toxicity and osseointegration ability must be carefully assessed. In the current study, the wettability, cytotoxicity, and genotoxicity of different alumina-zirconia-titania composites were evaluated. The surface wettability determines the biological event cascade in the bioceramic/human living tissues interface. The measured water contact angle indicated that the wettability strongly depends on the ceramic composition. Notwithstanding the contact angle variability, the ceramic surfaces are hydrophilic. The cytotoxicity of human gingival fibroblast cells with materials, evaluated by an (3-(4,5 methylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) test, revealed an absence of any cytotoxic effect. A relationship was found between the cell viability and the wettability. It was subsequently deduced that the cell viability increases when the wettability increases. This effect is more pronounced when the titania content is higher. Finally, a comet test was applied as complementary biocompatibility test to detect any changes in fibroblast cell DNA. The results showed that the DNA damage is intimately related to the TiO 2 content. Genotoxicity was mainly attributed to ceramic composites containing 10 wt.% TiO 2 . Our research revealed that the newly developed high performance alumina-zirconia-titania ceramic composites contain less than 10 wt.% TiO 2 , and display promising surface properties, making them suitable for dental implantology applications. of alumina is also its main deficiency. Indeed, the high rate of fractures in various alumina-based implants was reported on by clinical evaluations [6]. Zirconia (ZrO 2 ) ceramics were then introduced in implantology due to their resistance to fracture, their toughness (which is higher than the alumina), and their excellent biocompatibility [7]. However, zirconia bioceramics have a low resistance to ageing due to their transformation from the tetragonal phase (t) to the monoclinic phase (m) in the human body. This transformation is accompanied by an expansion of about 4% to 5% in volume. This volumetric expansion creates compressive stresses resulting in the drop of mechanical performances [8].Up to now, great efforts have been made to produce a new class of dental biomaterials with high mechanical performances. The combination of the high stiffness of alumina and the excellent toughness of zirconia could be an effective strategy [9]. Nevertheless, the previous works on alumina-zirconia ceramic composites revealed complex and high cost manufacturing processes such as hot-press sintering [10].Furthermore, several additives, such as TiO 2 , have been used in order to improve the sintering and enhance the ceramic performances of composites [11]. TiO 2 has also showed excellent bioactivity, promoting the attachment of implants with living bone tissues in a short time [12]. Al 2 O 3 -ZrO 2 -TiO 2 ceramic composites for dental application have recently been developed [13][14][15]...