Aim: The study aims to identify the common causes of performing restoration of teeth in General Dental Practice (GDP). Analyze the common reasons for restoration failure, the material used in the management of restoration repair/replacement in Hail, Saudi Arabia. Objective: This study gave an insight into identifying the reasons for performing dental restorative procedures in general dental practices in Hail, Saudi Arabia. It helped to determine the trends and justification for carrying out therapeutic dental treatments, with a particular emphasis on the treatment modalities, techniques, and materials used for replacement/repair of faulty or failing restorations. Material and method: It was an observational study with a cross-sectional design conducted in Hail, Saudi Arabia. A self-administered face and content validated questionnaire was used as a study tool to analyze the reasons that the general dental practitioners chose to place restorations. This study was done in February 2018. A total of 200 questionnaires were distributed, out of which 191 (response rate: 95.5%) were returned from the clinics of the college of dentistry, private dental clinics and specialist dental center in Hail city, Saudi Arabia. Result: Considering the reason of performing the restorative procedure, replacement of restoration was the most common with a percentage of 95(49.7%) followed by placement of new restoration due to caries represent 78(40.9%) and finally tooth fracture with a total rate of 18 (9.4%). The primary reason for the replacement of restoration reported was restoration fracture 40(42.1%), followed by secondary caries 33(34.7%) and finally aesthetically not acceptable restorations 22(23.2%). Conclusion: The results indicate that, within the parameters of this study, replacement of restoration was the most common reason for the dental procedures. The alarming thing identified by this study was that nearly half of the dental procedures (40.9%) were replacement restoration. Restoration fracture followed by Secondary caries was identified to be the main reason for replacement/ repair of restoration, with practitioners in general practice. Studies of this type give an insight into the prevailing trends and developments in dentistry.