摘要：SummaryImplant devices have = proven a successful treatment modality in reconstructive surgeries. However, increasing rates of peri-implant diseases demand further examination of their pathogenesis. Polymicrobial biofilm formation on titanium surfaces has been considered the main risk factor for inflammatory processes on tissues surrounding implant devices, which often lead to implant failure. To overcome microbial accumulation on titanium surfaces biofilm targeting strategies have been developed to modify the surface and incorporate antimicrobial coatings. Because antibiotics are widely used to treat polymicrobial infections, these agents have recently started to be incorporated on titanium surface. This review discusses the biofilm formation on titanium dental implants and key factors to be considered in therapeutic and preventative strategies. Moreover, a systematic review was conducted on coatings developed for titanium surfaces using different antibiotics. This review will also shed light on potential alternative strategies aiming to reduce microbial loads and control polymicrobial infection on implanted devices.Graphical AbstractDisplay OmittedHighlights•Polymicrobial biofilms are the main etiologic factor of implant-related infections•Titanium (Ti) biomaterial is a substrate for microbial accumulation•Antibiotic-loaded coating on titanium is a promising strategy this accumulation•These strategies need to improve drug releasing and are tested by polymicrobial modelsMicrobiofilms; Surface Science
