This case report describes the multidisciplinary treatment of a 14 year old girl whose Class I malocclusion treatment was complicated by her deaf and dumbness. The need to provide aesthetic as well a functional dental occlusion for special child continues to be a challenge for the Orthodontist despite proper preoperative evaluation and good rapport building with the patient. We would like to emphasize on preoperative Rapport building and use of simple sign language for conduct of dental treatment safely and effectively. On intra-oral examination it showed bi-maxillary protrusion on account of Angle’s Class I malocclusion with maxillary and mandibular anterior spacing and proclination. There was Elli’s Class I fracture with 11 and 21, short clinical crowns with increased incisal and gingival display during smile was seen. Complete oral rehabilitation was done on the dental chair, keeping appointments short by using four-handed dentistry. The patient is currently on a semi-annual periodic recall since one and a half years and continues to show satisfactory oral health.