Objective: The objective of this study was to compare dental student’s real/practical results at an Objective Structured Clinical Examination (OSCE) with their self-assessed results. These results were compared depending on gender. Introduction: There are several studies published comparing differences in self-assessment between women and men in theoretical exams. However, knowledge is lacking in regards to clinical examinations. At theoretical examinations, it has been found that men tend to over-estimate their performance more frequently than women do. Whether these differences in self-assessment exist because men tend to over-estimate themselves, women tend to under-estimate themselves, a combination of both or that self-assessments actually are consistent with the results at the examination, vary between different studies. Materials and methods: All students (35 women and 16 men) at the sixth semester at Malmö Dental School were examined with an OSCE with 13 stations. The student’s real results at OSCE were compared with their self-assessment at each station. The assessments were compared regarding gender. Results: At most of the 13 stations there were no significant differences in over- and under-estimation regarding women and men. It was more difficult for men to assess their performance regarding impression with alginate. These misjudgments were mainly caused by over-estimation. There were no results indicating that women under-estimate their performance at greater extent than men. Conclusion: Contrary to studies where gender differences concerning self-assessment in theoretical examinations are observed, the present study found no significant differences in over- and under-estimation between women and men.