The inflammation around poorly osseointegrated bioimplant is one of the root causes of its failure. Therefore, the biomedical industry constantly strives for new ways to develop bioactive surfaces in permanent implants to enhance the service life. In this regard, implant surface modification at micro/nanoscales is carried out to enrich substrate with higher engineering attributes and biocompatibility. Considering the complexities of post-processing of implants, this study evaluates the potentiality of an integrated process of implant machining and surface modification, namely, powder-mixed electric discharge machining (PMEDM). Ti6Al4V ELI implant material, as substrate, is machined under two distinct (Si, SiC) mixed additive conditions using a full factorial design of experiments. The surface quality, surface morphology, recast layer depth, surface chemistry, and work hardening have been holistically investigated. The bioactivity analysis of machined surfaces shows more porosity in the case of Si powder particles (200 to 400 nm) compared to SiC (100 to 250 nm). Furthermore, the study optimized the process parameters for minimum roughness and recast layer depth considering 5 g/L powder concentration, 5A pulse current, 50 µs pulse on time for Si, and 100 µs pulse on time for SiC. A comprehensive review of surface features based on process physical science is established, and nanoscale surface topography influencing protein absorption is analyzed.
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