<p>To assess the perspectives, awareness, and challenges faced by dentists in the Delhi NCR region when treating hearing and speech-impaired children, and to evaluate the need for improved communication training in dental education. A cross-sectional survey was conducted using a structured questionnaire that was developed, validated, and pilot tested. The final questionnaire was distributed to dental professionals in the Delhi NCR region between January 1 and February 28, 2025. Responses were analyzed descriptively to identify communication practices, awareness levels, and perceived challenges. A significant proportion of respondents reported difficulties in communicating with hearing and speech-impaired pediatric patients, often relying on non-verbal cues or caregiver assistance. Awareness of Indian Sign Language and formal communication training was low. While most dentists acknowledged the importance of inclusive communication training, only a minority had received any. No missing responses were identified, though some participants chose not to answer specific items. Dentists in the Delhi NCR region face substantial gaps in training and preparedness when managing hearing and speech-impaired children. The findings underscore the need for integrating communication skills and sign language training into dental curricula to promote accessibility and inclusivity in pediatric oral healthcare.</p>