I have used ceramic but have problem with price and they are very brittle. Had breakage in the factory.You can also get ceramic pads which conduct heat better. The thin plastic pads are just to electrically isolate and don't do anything good for heat conduction.
"Plastic Pads" I don't know what they are made of, but it is the same thing you find in your PC, on the CPU. The data sheet says it passes heat.
We moved to "plastic" transistors that are isolated. (no metal showing) That saved much labor.