The purpose of this study is to explore the possible factors that influence how patients rate their dentists in the underserved communities and how commonly each factors are mentioned in the articles found from the systematic review. PubMed was used to search the articles with the keywords categorized into 5 different groups, they were: dental/oral, underserved, patient satisfaction, services provided and America. The search resulted in 123 articles and after critical appraisal and review, 19 full text articles were determined to be fully relevant to this project. A table of summarized results from the articles was created and factors of satisfaction from the articles were translated into a category which then was categorize into broader category based on relatedness. Sub-categories that were mentioned at least five times in the articles were cost, insurance acceptance, communication, interpersonal skills, number of treatments, fear/worry/anxiety and pain. According to the findings, quality in terms of interaction and interpersonal relationship between patients and the dentists was most mentioned compared to other factors when it comes to patient satisfaction. Other factors mentioned were external factors, pain, continuity, access, cost, technical qualities, efficiency, convenience, availability and environment. The purpose of this study has been met. The results in this project suggest that dentists in underserved communities could focus on changing the way they deliver their service if they want to improve patient retention and satisfaction.