Objectives: Retrospective study aimed to investigate the number of direct restorations replaced and repaired, evaluate the reasons behind it, as well as compare between undergraduate and post graduate students in the dental hospital of Riyadh Elm University (REU). Methods: Patient records were retrospectively screened from the electronic data base system (DentoPlus) of REU hospital for restorations replaced and repaired in the past year. Patients that are >18 years old, had restorations that were repaired or replaced, and proper documentation was present were included in the study. A form with the information was filled. Data was analysed using the IBM-SPSS, version 25, Armonk, NY.