Titanium is the most widely used material for dental implants, due to its desirable properties, e.g., high biocompatibility, low density, high stiffness and strength, etc. More importantly, titanium implants may osseointegrate with living bone, meaning that new bone grows directly onto the surface of the implant, without any intermediate soft tissue layer. A successfully osseointegrated implant generally has a strong bonding to the adjacent bone; consequently, it usually functions well and remains stable for long service period. It also has been clinically proven that surface treatment methods can improve the rate and quality of titanium implants' osseointegration. This article focuses on two such methods, i.e., surface roughening and hydroxyapatite (HA) coating. In addition, we discuss a promising new methodology, which attempts to modify the surface charge of titanium materials. This paper focuses on the current best surface treatment methods for titanium dental implants developed and improved in the past two decades, i.e., 1990-2010. (C) Koninklijke Brill NV, Leiden, 2012