CHICAGO, US: The American Dental Association (ADA) has issued updated recommendations on dental imaging, reinforcing that radiographs and CBCT scans should be used judiciously based on clinical indication rather than routinely. For the first time, the guidance integrates patient-selection recommendations for both 2D and 3D imaging, marking the first major update in more than a decade. For clinicians, it underscores a shift towards judgement-led, patient-specific imaging decisions grounded in clinical findings and risk assessment.