Polymethyl methacrylate (PMMA) has been widely used as a material in dentistry. The deterioration of pure PMMA denture teeth is a significant issue that can alter the vertical dimensions of dentures. This study investigates the effect of aluminum oxide (Al2O3) nano-ceramic addition as reinforcements into the heat-cure acrylic resin denture teeth. The PMMA was reinforced with Al2O3 concentrations of 1, 3, 5, and 10 wt.%. The PMMA without ceramic addition is produced for comparison purposes. The color change, densification, microhardness, and compressive properties of the produced PMMA resin and its composites were investigated to detect the effect of Al2O3 nano ceramic addition on the physical and mechanical properties. Furthermore, the microstructure was also performed using scanning electron microscopy (SEM) analysis. A chewing simulator was utilized to conduct two-body wear testing, employing a human enamel antagonist. The wear behavior of the PMMA and their composites were assessed by measuring the weight loss after submitting them to 37,500 cycles. The SEM microstructure analysis revealed sound specimens of PMMA reinforced with 0, 1, 3, and 5 wt.% Al2O3 without any porosity and micro defects using the applied production procedures. In contrast, the aggregated sites and propagation of cracks were detected for the PMMA/10 wt.% Al2O3 specimen. The densification and hardness properties of the produced PMMA composites improved with increasing the Al2O3 additions. The microhardness of PMMA/10 wt.% Al2O3 improved by around 233% compared to the PMMA matrix. The higher compressive properties were detected for the PMMA/5 wt.% Al2O3 composite specimen with ultimate compressive strength (UCS) of 54.75 MPa and yield strength (YS) of 45.6 MPa and improved than the PMMA matrix by around 98 % and 117 %, respectively. In addition, incorporating Al2O3 nano-ceramic particles into a PMMA matrix revealed a significant improvement in the wear resistance of the produced composites compared to the PMMA matrix.