Cone beam computed tomography (CBCT), which provides more accurate three-dimensional visualization of dental and periapical structures than traditional radiography, has become a game-changing imaging technique in Endodontics. This study highlights the fundamentals of CBCT, its benefits, clinical applications, drawbacks, and potential developments in Endodontics. In addition to aiding in surgical planning and outcome evaluation, CBCT provides enhanced diagnostic capabilities for identifying complex root canal morphology, periapical lesions, root fractures, and resorptive abnormalities. Not with standing these advantages, cautious use is required due to worries about radiation exposure, expense, accessibility issues, and possible interpretation problems. Its appropriate application continues to revolve around ethical considerations, such as patient safety, informed consent, and adherence to professional guidelines. Patient safety and informed consent continue to be essential components of its proper use. Recent developments, including low-dose protocols, digital workflow compatibility, and artificial intelligence integration, further enhance its therapeutic relevance. Hence, CBCT is a paradigm change in endodontic imaging; yet, to optimize patient benefit and minimize hazards, its application should be limited, evidence-based, and guided by the ALARA principle.
Keywords: Artificial Intelligence; CBCT; Dentistry; Diagnosis; Endodontics; Treatment Planning