as an effective method to obtain higher success rates for implantation. [4,5] Another effective method is the coating of Ti implants with bioactive materials. [6] Hydroxyapatite [HAp, Ca 10 (PO 4) 6 (OH) 2 ] is a representative bioactive material, with a composition similar to that of human bone mineral. [7,8] Therefore, HAp coating of Ti implants has been studied for decades. [9-13] However, recent studies have revealed that the effectiveness of HAp coating is limited since poor adhesion and low resorbability of the HAp coating cause delamination upon prostheses and consequently generate osteolysis and aseptic loosening. [14-16] Furthermore, the debris and particles generated via of wear of HAp coatings have been described to induce cytotoxicity and immunogenicity. [17,18] Hence, these issues are associated with a high risk of implant failure. The coating of Ti implants with natural bone mineral, i.e., carbonate apatite [CO 3 Ap, Ca 10−a (PO 4) 6−b (CO 3) c ], may resolve the abovementioned challenges faced with HAp coatings as CO 3 Ap has higher osteoconductivity than HAp. [19-21] Furthermore, CO 3 Ap can be replaced by bone in coordination with bone remodeling, whereas HAp is poorly resorbed and remains at the implantation site for more than 10 years. [22-24] Additionally, a proportionate amount of calcium and phosphorus ions released from CO 3 Ap by osteoclastic resorption may promote osteoblastic differentiation. [20,22,25-27] Thus, CO 3 Ap coating is expected to be effective for rapid osseointegration. However, the effectiveness of CO 3 Ap coating has not yet been demonstrated as the coating of Ti implants with CO 3 Ap cannot be achieved by conventional methods, such as spray coating and spin coating, since CO 3 Ap is decomposed by heat treatment. [28] Nevertheless, a fundamental technique has been developed herein to fabricate CO 3 Ap by dissolution-precipitation reactions using calcium carbonate (e.g., calcite) blocks and granules as precursors, while maintaining the precursor shape. [19,21,29,30] Thus, calcite coating of Ti implants is considered to be foundational for effective CO 3 Ap coating. The present research group previously succeeded in robust coating of a rough-Ti substrate with calcite. [31,32] Hence, exploiting the calcite coating as a precursor for dissolutionprecipitation reactions may be favorable for achieving robust CO 3 Ap coating of rough-Ti. Herein, CO 3 Ap-coated rough-Ti (CO 3 Ap-Ti) substrates, with strong adhesive strength between Titanium (Ti) implants that realize rapid osseointegration are required for favorable outcomes. Rough implant surfaces favor osseointegration, hence, coating implants with natural bone mineral, i.e., carbonate apatite (CO 3 Ap), may be effective for osseointegration. To achieve rapid osseointegration, rough-Ti substrates are coated with CO 3 Ap (CO 3 Ap-Ti) and the effects are evaluated in vitro and in vivo. For comparison, rough-Ti without coating (rough-Ti) and calcite-coated rough-Ti (calcite-Ti) substrates are fabricated. The adhesive strengths of ca...