As I understand it (and someone please tell me if I'm wrong), the main problem with AR piston conversions is bolt carrier tilt. That is, since the piston pushes on the top of the bolt via the key, the carrier will want to travel in a downwards arc as it goes backwards and this can lead to jamming. Ideally, the bolt would be redesigned with tracks or some sort of guide to prevent this. Presumably something like the HK416 has a fix for this built in and uses a slightly different upper design.
Personally, I think there's a good reason every other battle rifle uses a piston but I do agree with the lack of standarization being an issue if you want a piston AR.