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TitleThe impact of new anodization modification on titanium interaction with human osteoblasts and fibroblasts (in vitro)PurposeTo compare the behavior of osteoblast and fibroblast cells, as well as the surface characteristics, of modified anodized titanium surfaces at different voltages with sandblasted and acid-etched titanium surfaces.MethodsTwenty titanium discs were fabricated and subjected to 4 types of surface treatments: machined surface, sandblasted and acid-etched surface (SLA), modified anodized A surface at 30V DC and modified anodized B surface at 70V DC. Surface roughness and contact angle were measured. Osteoblast cells were seeded onto titanium discs and evaluated for cell proliferation, Alkaline phosphatase (ALP) activity, Alizarin red staining, and cell morphology with SEM imaging. Immunofluorescent staining was performed to assessed cell adhesion of both osteoblast and fibroblast cells. Statistic analysis was conducted using ANOVA with Tukey post hoc multiple comparisons.ResultsThe topography and osteoblast cell spreading on both modified anodized titanium surfaces differed significantly from machined and SLA surfaces (p p 0.05). For human gingival fibroblast cells, the modified anodized surfaces exhibited significantly higher cell adherence (p 0.05), followed by the machined surface, with SLA surfaces showing the least adherence.ConclusionsThe modified anodized surfaces showed superior biocompatibility, enhancing attachment of both osteoblast and fibroblast cells, whereas the SLA surfaces exhibited the least fibroblast cell adherence.