For abutment of dental implants, (Y, Nb)-TZP/Alumina composites were prepared by addition of 10-90 vol% alumina at an interval of 10 vol％ into tetragonal zirconia solid solution which consists of 90.24 mol% Zr $O_2$, 5.31 mol% Y$_2$ $O_3$, and 4.45 mol% Nb$_2$O$\_$5/. Biaxial flexure strength and fracture toughness of composite were optimized by adding 10 vol% alumina, which resulted in 900 MPa and 8.9 MPam$^$1/2/, respectively. The composite did not undergo low temperature degradation even after autoclave treatment at 200$^{circ}C$ for 10 h. 65 of (Y, Nb)-TZP/Alumina composite abutments were employed into 40 patients and any adverse reaction, screw loosing, or fracture of abutments was not observed for the span of 2 years, indicating that the ceramic abutments can be safely used for restorations.