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This review explores AI and machine learning in cephalometric analysis, focusing on automation, diagnostic accuracy, and treatment optimization.A PRISMA-ScR-based literature search (2017-2024) across multiple databases identified relevant studies. Thirteen of 174 articles met inclusion criteria, comprising various study types. Most confirmed AI's reliability in cephalometric analysis.AI and machine learning enhance cephalometric analysis by improving accuracy and efficiency, benefiting orthodontic care.