To visualize periapical lesions, periapical and panoramic radiographs are routinely employed. Furthermore, in the diagnosis of anterior teeth with periapical diseases, ultrasonography is an alternative way to digital radiography techniques. To December 2021, an electronic literature search was conducted using the databases PubMed, Embase, and CENTRAL. When compared to traditional radiography, ultrasonography can be considered a better imaging modality with greater efficacy due to its potential usefulness in differentiating periapical lesions.