In recent years, there have been significant changes in undergraduate endodontic education, resulting from changes in knowledge, techniques, materials, and teaching approaches. It seems that the more root canal treatments students perform on patients, the higher their self-efficacy upon graduation. However, dealing with complex cases may hurt their self-efficacy and confidence. This study aimed to assess the level of confidence of dental students in performing endodontic treatments and their perceptions of their undergraduate endodontic education. This cross-sectional study was conducted among dental students in Riyadh through an online survey. Dental schools in Riyadh were contacted, and students were invited to participate. A total of 500 clinical-level students participated in the survey. The results showed that 73.1% of students felt that the time allocated for endodontic education was sufficient, 69.5% regarded the quality of lectures as satisfactory, and 23.2% felt that there was not enough time for laboratory sessions. Statistically significant differences were observed when assessing gender differences in confidence in performing anterior root canal treatments (P-value = .001), posterior root canal treatments (P-value = .009), and determining the restorability of teeth (P-value = .001). Overall, students were satisfied with the quality of their endodontic education, although their confidence levels were slightly above average, which did not align perfectly with their satisfaction.
