Abstract Carbon microspheres with a diameter of 2 μm were prepared by hydrothermal process. The apatite-formation ability of the carbon microspheres was evaluated by soaking them in a simulated body fluid (SBF) for 5 and 10 d and apatite-formation mechanism was also analyzed. The result showed that bonelike apatite was formed on the surface of carbon microspheres. Our study indicates that the carbon microspheres synthesized by this method possess apatite-formation ability and may be used as a bioactive injectable filler for bone tissue regeneration.