Titanium
(Ti) is the most commonly used biomaterial for dental
implants. When inserting Ti implants into jawbones, the main issue
is the lack of strong bonding between the Ti implant and the host
bone (osseointegration). Inspired by the outstanding adhesion performance
of natural phenolic compounds on metal substrates and promoting effect
for cell adhesion, we coated a natural plant extract, Dipterocarpus tuberculatus (MED), on Ti implants.
We tested three groups of Ti plates and screw-shaped fixtures: nontreated
Ti as commercially produced, ozone-treated Ti as commonly used surface
modification for dental implants, and MED-coated Ti. Interestingly,
the MED coating on the Ti plate preserved the surface wetting property
for 20 days, whereas the hydrophilic wetting of ozone-treated Ti was
readily transformed to hydrophobic within a day. Computerized tomography
and histopathological analysis revealed that MED coating enhanced
new bone tissue formation and regeneration. The gene expression level
of integrin as a bone cell adhesion receptor and its downstream key
regulators was significantly increased than that of ozone-treated
Ti. Therefore, we suggest considering MED-mediated cell signaling
pathways in screening natural products for cell adhesion and osseointegration,
and MED as a suitable coating agent for improving Ti implantation.