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To investigate the confidence level of final year dental students in Riyadh. Cross-sectional study was conducted at four dental colleges in Riyadh (N=312, 220 and 70,5% responded). Oneway ANOVA and post hoc Tukey-Kramer was used. The greatest self-reported confidence scores were for pit fissure sealent (4.6(0.7)). Whereas, students reported least confidence in conducting surgical extractions (2.7 (1.2)). Females were found more confident in conducting preventive resin restorations, oral hygiene instructions, and rubber dam placement as c