| Material [78]  | 
        Improvements (‘After’) | 
      
      
        | Phase-stabilised    zirconia | 
        Higher fracture toughness  
          Larger static and fatigue    strengths  | 
      
      
        | Yttria-stabilised    ceramics can be destabilised during process of steam sterilisation | 
        Decreased    frictional torque 
          Reduced level of    polyethylene debris production 
          Increased surface roughness  | 
      
      
        | Alumina    matrix reinforced with zirconia particles,     zirconia-toughened alumina (ZTA) | 
        Higher toughness values  
          Alumina matrix constrains zirconia particles,    toughening ceramic host material  
          Greater hardness of    composites with alumina matrix  |