A sample of largely well-educated affluent, and youthful dental patients drawn from 11 private dental offices participated in a quality assurance project that included clinical review examinations conducted at a special appointment. More than 90% of patients were willing to participate at no cost to them, and examinations were conducted on 225 patients. Attitudinal measurements were taken on all the patients both before and after their involvement. Patients responded well to this mechanism. Patients responded well to this mechanism of quality assurance and expressed increased trust and confidence in their dentists' care after experiencing reviews. Issues concerning the confidentiality of dental records were addressed. Of the participants, approximately 75% believed clinical examinations by visiting dentist/examiners would increase the quality of American dentistry. Generally, patients were willing to have the examinations repeated periodically, although few were willing to pay for this review. The potential for quality assurance to increase patient confidence in dental care was verified.