“…An improved in vivo response to Ca ion implantation has been attributed to the following factors: thickening of the oxide layer, formation of the Ca-P rich apatite layer, and/or release of the implanted ion from the modified Ca-Ti surface [59,146,147,149]. All these factors play major role in promoting bone cell adhesion, extra-cellular matrix communication and augmentation of tissue mineralization, leading to improved bone remodeling on the Ca-implanted titanium.…”