Non-stoichiometric nanocrystalline apatite powders are used to elaborate highly-bioactive biomaterials. Their exceptional surface reactivity arises from a structured but rather unstable hydrated layer involving ions in nonapatitic chemical environments, like in bone mineral. The initial powder characteristics can be tailored through precipitation parameters (pH, temperature, maturation time in solution). The drying of nanocrystalline apatite suspensions at very low temperature (4 °C) leads to ceramic-like materials exhibiting average mechanical properties (compressive strength 54 MPa) and a high porosity which could be exploited to entrap active organic compounds (e.g. growth factors). The consolidation at 150-200 °C of nanocrystalline apatite powders has also been studied using uni-axial pressing and spark plasma sintering (SPS). The results indicate only a limited alteration of the initial nanocrystals, and the bioceramics obtained show mechanical properties close to those reached with sintered stoichiometric HA. The high ion mobility in the hydrated layer of the nanocrystals can lead to "crystal fusion" processes. This capability to favor crystal-crystal interactions at low temperature, while preserving the non-stoichiometry and nanometer dimensions of apatite crystals, opens interesting perspectives for the elaboration of new resorbable and highly-bioactive bioceramics.