Surface treated titanium implants are increasingly being used in dental and orthopaedic applications. This study examined the biological response of primary human alveolar osteoblast (aHOB) cells to a novel silicon based anodic spark deposition treated titanium surfaces. Three different titanium surfaces were investigated: anodic spark deposition (ASD) with silicon based (ASDSi), BioSpark™ (BS), and chemically etched (BioRough™, BR). Commercially pure titanium (cpTi) was the non-treated control surface. Physiological and biological evaluations were conducted on all test and control surfaces. Surface scanning (SEM, EDS, and AFM) confirmed a nano-topography, which was textured for all surfaces; and similar surface chemical composition (Ca and P), of significant was the Si peak on the ASDSi surface. Cell morphological study (SEM) showed good adhere and spreading over the surface, with metabolically active cells having extended filopodia. Biological response was observed with cell proliferation on all test surfaces for the period studied. Proliferation rate was seen to increase with time. This initial favourable cell response will be of benefit in the long term osseointegration of the implant surfaces.