This study investigates the application of DC magnetron sputtering (MS) technology for producing TiN and ion-substituted Ca-P coatings on dental implant materials, demonstrating ultimate tensile strength (UTS) of 887 MPa, a modulus of elasticity of 11.3 × 106 MPa. The influence of various physical vapor deposition (PVD-MS) parameters—such as substrate temperature, post-heat treatment, deposition duration, discharge power, and bias voltage—on the characteristics of these coatings is examined. The research evaluates the advantages and limitations of PVD-MS in fabricating TiN and Ca-P coatings, with an emphasis on their impact on surface topography and chemical composition, which are critical factors influencing cellular behavior. The study reveals that while ion-substituted HA coatings can enhance cell adhesion, they may also exhibit cytotoxic effects, potentially limiting cell growth. It compares osteogenic cell proliferation rates between low-crystalline HA coatings and highly crystalline variants on Ti-based substrates, highlighting significant performance disparities. Additionally, PVD-MS demonstrates robust adhesion capabilities and facilitates the incorporation of therapeutic ions, effectively replicating bioapatite properties. The addition of coating on the substrate promotes additional strengthening mechanisms of the layers, leading to improved wear resistance compared to an alloyed substrate. Estimated values for hardness range between 7.2 and 8.4 GPa, and for Young's modulus, they range from 126 to 162 GPa. The study highlights the potential of PVD-MS in creating nanostructured Ca-P coatings on biodegradable metals, alloys, and polymeric biomaterials. This technology improves corrosion resistance, biocompatibility, chemical stability, wear resistance, and overall performance in various biomedical applications.