Objective: To determine the pattern of common oro-dental presentation among children attending a selected pediatric hospital. Material and Methods: A cross-sectional hospital-based review of pediatric patients attending dental OPD in a pediatric hospital for a period of eight months from March to October 2019. Results: The study included a total of 301 patients. Patients majority (46.8%) were aged 6-12 years. Most common disease was dental caries (85%), followed by gingivitis (64.8%), mouth ulcer (39.5%), malocclusion (26.9%), dento-alveolar abscess (18.6%) and traumatic injury (12%). Other relatively less common oral problems were Retained deciduous tooth (15%), non-carious like attrition &erosion (6.3%). Supernumerary & mesiodens (4.7%), Birth tooth (2%) and Cleft lip & palate (1.7%) respectively. Conclusion: Dental caries was the disorder that was the most common and mostly were 6-12 year of age. Programs on creating public awareness on the importance of oral health and Oro-Dental diseases are recommended.