The bioactive glass 45S5 was crystallized to 8-100 vol % of crystals by thermal treatments from 550-680 degrees C. The micro-structure of the glass-ceramics had a very uniform crystal size, ranging from 8 to 20 microns. Fourier-transform infrared (FTIR) spectroscopy was used to determine the rate of hydroxycarbonate apatite (HCA) formation that occurs on bioactive glass and glass-ceramic implants when exposed to simulated body fluid (SBF) solutions. Crystallization did not inhibit development of a crystalline HCA layer, but the onset time of crystallization increased from 10 h for the parent glass to 22 h for 100% crystallized glass-ceramic. The rate of surface reactions was slower when the percentage of crystallization was > or = 60%.