The purpose of this pilot study was to assess the attitudes of active registered dental hygienists toward the proposed Advanced Dental Hygiene Practitioner (ADHP). Factors of support/interest in the ADHP concept, level of practice, and socio-demographics were examined. A self-administered questionnaire was mailed to 1562 active registered dental hygienists in Colorado, Kentucky, and North Carolina. Both quantitative and qualitative analyses were performed. The response rate was 29% (n = 442). Overall level of support/interest for the ADHP, indicated by cumulative totals of very and somewhat supportive/interested, was respectively 87%/74% in Colorado, 82%/71% in Kentucky, and 92%/81% in North Carolina. A significant difference was found among respondents interested in becoming an ADHP and those not interested (p