The study aimed to assess dental anxiety (self and proxy reported) using a modified dental Anxiety Scale(MDAS) and modified short state-trait anxiety inventory scale(Emoji). Methods: 200 children visiting the pediatric dental clinic at the College of Dentistry at Prince Sattam bin Abdulaziz University were recruited to assess their levels of anxiety. The anxiety score was measured before and after the treatment using a short STAI scale and MDAS of 200 children using a Modified Dental Anxiety Scale (MDAS) and a modified short STAI (Emoji) Scale. Results: The perception of children MDAS was found to have a highest mean score of 14.54±3.82 after the dental procedure than compared to the mean score of 9.40 ±2.90 before the dental procedure this difference was statistically significant (p<0.001). There was a statistically significant difference observed in MDAS after the dental procedure and in short STAI before the dental procedure. Conclusion: All children exhibited improvement in their levels of dental anxiety before and after the procedure. Therefore, procedural experience may improve the child's response.