For many decades, bioceramic materials have been used in a variety of biomedical applications due to their biocompatibility, hardness, wear resistance and compressive strength properties. Bioceramic materials, including Bioglass, glass ceramic materials, and hydroxyapatite, have used to create total ossicular replacement prostheses and partial ossicular replacement prostheses. This review describes design factors associated with middle ear implants as well as clinical use of bioceramic materials in middle ear implants.