The purpose of this study was to evaluate the effects of ion implantation on Porphyromonas gingivalis (P. gingivalis) and Fusobacterium nucleatum (F. nucleatum) bacterial adhesion. Titanium (Ti) discs of 15 mm diameter and 1 mm in thickness (n = 42, 7 per group) were fabricated. Magnesium (Mg) and calcium (Ca) ions were implanted into the Ti surfaces using a plasma-source ion-implantation method. The roughness, chemistry, morphology, and contact angle of the titanium surfaces were analyzed using scanning electron microscopy, Rutherford back-scattering spectroscopy, Auger electron spectroscopy, and contact angle meter. P. gingivalis and F. nucleatum strains were cultured in anaerobic conditions at 37°C for 72 hours, and all titanium specimens were dipped in the bacterial suspension at 37°C for 24 hours. Specimens were examined at 1,000× magnification using a fluorescence microscope. The number and total area of bacteria in each of 10 separate fields were determined by computer imaging analysis method. The resulting data was analyzed to assess the significance of observed differences based on the method of the surface treatment, ion implantation. The number of P. gingivalis and F. nucleatum attached to the Mg-(927 and 227, respectively) and Caionimplanted (1325 and 231, respectively) surfaces were greater than those attached to the non-implanted surfaces (306 and 98, p <.001). Total area occupied by P. gingivalis adhesion was greater than those of F. nucleatum in the Mgand Caion-implanted surfaces (p <.001). The types of ion and bacteria did not affect the amount of bacterial adhesion. Ion implantation enhanced the adhesions of P. gingivalis and F. nucleatum. Non-specific bonding derived from the electrostatic force affected by positively charged ions might be the predominant factor in bacterial adhesion. The possibility of specific bonding could not be ruled out in the Ca-ion- implanted surface.