Titanium oxide (TiO
2
)
nano-/microparticles have been
widely used in orthopedic and dental sciences because of their excellent
mechanical properties, chemical stability, and ability to promote
the osseointegration of implants. However, how the structure and crystallinity
of TiO
2
particles may affect their osteogenic activity
remains elusive. Herein, we evaluated the osteogenic response to submicron
amorphous, anatase, and rutile TiO
2
particles with controlled
size and morphology. First, the ability of TiO
2
particles
to precipitate apatite was assessed in an acellular medium by using
a simulated body fluid (SBF). Three days after the addition to SBF,
anatase and rutile TiO
2
particles induced the precipitation
of aggregates of nanoparticles with a platelike morphology, typical
for biomimetic apatite. Conversely, amorphous TiO
2
particles
induced the precipitation of particles with poor Ca/P atomic ratio
only after 14 days of exposure to SBF. Next, the osteogenic response
to TiO
2
particles was assessed in vitro by incubating MC3T3-E1
preosteoblasts with the particles. The viability and mineralization
efficiency of osteoblastic cells were maintained in the presence of
all the tested TiO
2
particles despite the differences in
the induction of apatite precipitation in SBF by TiO
2
particles
with different structures. Analysis of the particles’ surface
charge and of the proteins adsorbed onto the particles from the culture
media suggested that all the tested TiO
2
particles acquired
a similar biological identity in the culture media. We posited that
this phenomenon attenuated potential differences in osteoblast response
to amorphous, anatase, and rutile particles. Our study provides an
important insight into the complex relationship between the physicochemical
properties and function of TiO
2
particles and sheds light
on their safe use in medicine.