This document summarizes a study that investigated the surface reactivity and biocompatibility of SiO2–TiO2–CaO–Na2O/SrO bioceramics as a function of structure and incubation time in simulated body fluid. Glass and ceramic samples with varying sodium and strontium concentrations were characterized, incubated in simulated body fluid for up to 30 days, and evaluated for calcium phosphate deposition and changes in surface morphology. Cell culture analysis also assessed the effect on cell viability. The addition of strontium reduced solubility and calcium phosphate precipitation compared to sodium-containing materials. Crystallization also decreased reactivity compared to amorphous structures.