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Metallic biomaterials are widely used in the manufacturing of medical devices for hard tissue replacement such as pace maker
cases and screws to assist patients when their body parts are damaged. The basic information of three main categories of metallic
implant biomaterials, stainless steel, cobalt and titanium (Ti)-based alloys are introduced in this paper. In addition to mechanical
performance, the other essential requirements that are needed to be posted by these metallic biomaterials are also explained. Various
advantages of using these metallic biomaterials as an implant and their current applications also are reviewed. The main issue during
implantation of a biomaterial (i.e., Ti implant) and its alloys is inflammatory of surrounding tissues and eventually it leads to implant
failure even when the biomaterial has shown excellent properties. This review paper covered some of the recent notable surface
functionalization techniques and the obtained results contributed to biomedical field to resolve the problems. It firstly explained that
the biocompatible metal layer (tantalum) is deposited onto bare Ti and Ti substrate with the nanoporous Ta-incorporated surfaces
using various methods of deposition to improve the performance in terms of corrosion resistance and biological performances.
Attachment of hydroxyapatite (HA) onto Ti surface is one of the ways of getting rid of the negative effects of Ti. However, HA has
poor mechanical properties and low bond strength with Ti. Thus, a composite coating that can improve the lack of HA properties
was formed. Moreover, the last investigations related to incorporating antibacterial nanoparticles and drugs with Ti implants are
presented, as well. The overall results indicated that the antibacterial performance of Ti implants improved with attachment of
incorporating antibacterial agents onto it. Carbon nanotubes (CNTs) and biocompatible polymers are integrated onto Ti to improve
the cells adhesion and growth as well as reducing the toxicity which will lead to the longevity of implants. The investigator studies are
revealed that the different surface properties on Ti will affect the absorption of protein and increase of biocompatibility.