Statement of problem: The choice to replace missing teeth among patients suffering from an edentulous condition is always preferred with a fixed treatment option. The two major options among the fixed prosthetic treatment are tooth supported prosthesis and implant supported prosthesis. There has always been a need to assess the level of awareness and understanding about both the options of fixed prosthetic treatment among the rural group of Nalgonda population. Aim and objective: The aim of this study is to evaluate the awareness, expectations level of knowledge among the dental patients regarding fixed treatment options to replace missing teeth. Material and Methodology: 153 patients Indian adults referred to Kamineni institute of dental sciences, Narketpally, Nalgonda district, Telangana state, India were presented with a questionnaire including 13 questions regarding level of information and awareness about fixed treatment options. The data were collected and statistically analysed with Chi-square test. Results: Among 153 patients almost 99% of the screened study group were aware that missing teeth could be replaced by fixed treatment options. Out of which, 60% of the information regarding tooth and implant supported denture were received from doctors, 15% from friends, 14% from media and 11% from family. Knowledge related to the validity for both the types of treatment options, 27% and 50% were unaware of tooth supported and implant supported prosthesis respectively. Further, the opinion for restoring the missing teeth, 90% of the population felt the necessity for replacing the missing teeth whereas 10% were not interested to restore the missing teeth. Conclusion: The general awareness level of fixed prosthesis are satisfactory and however there is need for more awareness to know the validity , advantages, disadvantages and effectiveness of each fixed treatment options when compared with each other.