A cross-sectional survey in Riyadh evaluated the self-reported oral health-related quality of life (OHRQoL) of 510 adults who rely on fixed dental prosthesis. The OHIP-14 scale revealed that 54.9% of respondents rated their experience as poor. Gender, income, and employment status acted as socioeconomic gatekeepers, with worse scores clustering around full-time female workers in the lower pay bracket. Clinical inspections strongly linked toothache, periodontal inflammation, visible abscesses, and chipped dentition to diminished life quality. Systemic variables-diabetes, hypertension, and the like, exerted a negative pull on OHRQoL. By contrast, age, time since installation of the prosthesis, other comorbidities, and tobacco use failed to connect statistically. The data underline the dual sway of medical and economic variables on patients' well-being. The authors suggest routine follow-up of chronic illnesses, heightened oral hygiene education, and specialized support for women and low-income users to elevate treatment outcomes and boost the overall quality of life among Saudi adults with dental bridges.