Background: zirconium (Zr) implants are known for having an aesthetically pleasing tooth-like colour Unlike the grey cervical collar that develops over time when titanium (Ti) implants are used in thin gingival biotypes. However, the surface qualities of Zr implants can be further improved. This present study examined using thermal vapour deposition (TVD) to coat Zr implants with germanium (Ge) to improve its physical and chemical characteristics and enhance soft and hard tissue responses. Materials and methods: Zr discs were divided into two groups; the uncoated (control) group was only grit-blasted with alumina particles while the coated (experimental) group was grit-blasted then coated with Ge via TVD. Field emission scanning electron microscopy (FESEM), energy-dispersive X-ray (EDX) spectroscopy, X-ray diffraction (XRD), atomic force microscopy (AFM), water contact angle test, and cross-hatch adhesion tests were then used for surface characterization Results: An XRD analysis of the Ge-coated Zr samples revealed the substrate while the FESEM results revealed a continuous coating with no cracks. The mean surface roughness and hydrophilicity of the Ge-coated Zr substrate was significantly higher than that of the uncoated Zr substrate (
