Aims and Objectives: The study aimed to investigate dental undergraduates’ studying in Riyadh colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia to evaluate their self-reported experience and perceived clinical confidence in pediatric dentistry. Methodology: 236 students from Riyadh colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia responded to a structured questionnaire to evaluate their experience and their confidence for various treatment procedures in pediatric dentistry during their course. Results: The results of this study suggest that gender differences existed in the confidence levels in various procedures in pediatric dentistry. Of all the procedures in pediatric dentistry, Preventive procedures (pit and fissure sealants, PRR and topical fluoride application) is ranked the first in the confidence and least is the selection of patient for general anesthesia and conscious sedation. Conclusion: Undergraduate students have concluded that they have adequate training in both theory and clinics regarding pediatric dentistry. Students are exposed to various clinical procedures and are confident in most of the pediatric clinical procedures. Students universally reported a lack of confidence in patient selection for conscious sedation and general anesthesia and this is the one area that the pediatric dentistry department will now be targeting for enhanced student learning.