For prosthetic therapy to be successful and last a long time, the design and load considerations on the alveolar bone are essential. The prosthetic option selected—removable, fixed, or implant-supported will determine which issues need to be taken into account. To distributing forces uniformly and avoiding undue stress on the alveolar bone, the design must offer sufficient retention and support. Prosthodontists can design prosthetic restorations that maintain the integrity and health of the alveolar bone while simultaneously restoring function and aesthetics by carefully weighing all relevant criteria. This review article aims to discuss various loads falling on the supporting alveolar bone from various prosthetic treatment options.