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Evaluation of TBL from students' perspective has been done extensively, but limited studies have analyzed the effect of TBL on students' academic performance. Objectives of the present study were to assess students' perceptions about team-based learning versus traditional lectures and then to compare with students' grades in both TBL and lecture-based assessments. Cross-sectional descriptive study which included 147 dentistry students was conducted between March and June, 2020 at Qassim University, Saudi Arabia. A self-composed 10 item