Endodontic treatment requires precise diagnostic imaging to guide practitioners in diagnosing, planning, and monitoring the outcomes of procedures. Traditionally, periapical radiography (PA) has been used as the standard method for obtaining images in endodontic cases. However, with the advent of digital radiography (DR), dental professionals now have an alternative that offers potential improvements in diagnostic accuracy, radiation exposure, workflow efficiency, and patient experience. This review aims to explore the differences between traditional and digital radiography, highlighting their advantages and limitations, and providing an in-depth understanding of their roles in endodontic practice. This review investigates critical aspects such as diagnostic accuracy, radiation safety, image quality, cost implications, and patient-centered factors, contributing to a comprehensive comparison that can provide informed clinical decisions in endodontic procedures.

KEYWORDS: Traditional periapical radiography, digital radiography, endodontic procedures, root canal therapy, diagnostic accuracy, radiation dose