Dental radiography is an indispensable diagnostic tool in pediatric dentistry, enabling accurate detection, diagnosis, and treatment planning for oral diseases, developmental disturbances, and trauma. It complements clinical examination by providing critical insights into structures not visible intraorally, particularly in children and individuals with special healthcare needs. The evolution of dental imaging-from the discovery of X-rays by Wilhelm Roentgen in 1895 to modern modalities such as digital radiography, CBCT, MRI, and ultrasonography-has significantly enhanced diagnostic precision and patient care. Understanding radiation physics, including ionization and electromagnetic properties, is essential for safe application. Despite its benefits, ionizing radiation carries biological risks, especially in children due to higher cellular sensitivity. Therefore, adherence to radiation protection principles such as ALARA and judicious case selection is crucial. Contemporary advancements emphasize individualized imaging approaches, balancing diagnostic efficacy with minimal radiation exposure, thereby ensuring optimal pediatric patient management.

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