There are many effects of patient feedback on healthcare services, especially in the dentistry department. In 1995, Sir David Mason wrote about the challenges and opportunities facing the dental profession and identified the "consumer revolution" as one of the major trends currently shaping general dental practice in the UK: "More people want to have a greater say in chapter on their health and services, the best care for themselves and their families and choice in that care. For the NHS the result has been a profound shift in emphasis from service providers to patients , the full effects of which have yet to be realized. (Mason D.1995). One such effect is the increasing impact that patient satisfaction and dissatisfaction will have on the business success of the dental practice patient and provider is one of the most important factors influencing patient satisfaction. Improving interpersonal issues is therefore highly recommended to increase patient satisfaction (Crow R, et al. 2002). Caring and respectful relationships between patient and healthcare provider are vital to patient satisfaction (Svensson B, Hansson L. 2006). The relationship between patient and healthcare provider has been heavily emphasized in mental health care and has been described as having three parts: a working alliance, a transference configuration, and an actual relationship. The working alliance is considered the fundamental element for effective treatment (Gelso C, Carter J. 1994). Although the term treatment or working alliance originated in psychoanalysis, it can be generalized to all forms of psychotherapy (Bordin E. 1979). There is a hypothesis that more a doctor's performance...... middle of paper .. ....to less healthy patients through negative signals. All this could increase patient dissatisfaction (Braunsberger and Gates, 2002). It has been suggested that patients' satisfaction with their dentists is a determining factor in whether they proactively seek preventive care (Liddell A. May B. 1984). Those who are dissatisfied with their dental care and avoid preventive care jeopardize their dental health and postpone treatment until late stages of the disease. This finding could be very important to the military population since preparing service members dentally for deployment is a primary mission of the services' dental care systems. Dental emergencies in deployed military populations have been well documented and shown that those with untreated emergency conditions suffer emergencies at a rate 7 to 10 times higher than orally healthy service members (Chaffln JG., et al.. 2001).