Nanometric hydroxyapatite (HAp) particles were modified with 5 or 10 wt.% tetraethylorthosilicate (TEOS) solutions in order to prepare polydimethylsiloxane/hydroxyapatite (PDMS/HAp) composites. The surface modification of the HAp particles was studied by transmission electron spectroscopy (TEM) and by scanning electron microscopy coupled with energy dispersive spectroscopy (SEM/EDS) equipment. The dispersion state of the modified particles in the PDMS matrix was also assessed by SEM. The composite phase composition was characterized by X-ray diffraction (XRD). The composite thermodynamic parameters of cross-linking were analyzed by differential scanning calorimetry (DSC). TEM micrographs and EDS spectra indicated evidence of silica-coating formation on the surface of modified HAp particles. SEM results showed that the HAp particles formed agglomerates in the PDMS matrix. It was found that the introduction of HAp particles into the PDMS changed the enthalpy of cross-linking and the temperature of the beginning of the cross-linking reaction. EDS results indicated that the surface modification of HAp produced composites showing thermodynamic parameters that were more similar to those of unfilled PDMS.