AbstractSpecial children pose challenge to pediatric dentist. Each child is different and the treatment plan should be suitably modified. Hearing impaired children present a unique communication hurdle, thus making both the dentist and child in an arduous situation. Health care provider’s especially pediatric dentist should be aware of the strategies to efficiently manage such children in dental clinic. Thus, this review in an attempt to provide an insight into the causes and types of hearing impaired children and blueprint to impart quality treatment to such children.