Background: Cone-Beam Computed Tomography (CBCT) has transformed dental Implantology by providing detailed three-dimensional imaging for pre surgical planning. Its ability to accurately evaluate bone quality, nerve pathways, and implant site morphology has significantly improved diagnostic accuracy and clinical outcomes. However, concerns persist regarding radiation exposure, cost, and variability in imaging protocols and operator expertise. Objective: This meta-analysis aims to evaluate the effectiveness of CBCT in enhancing precision, predictability, and clinical outcomes in dental Implantology. It synthesizes data from multiple studies to provide evidence-based recommendations for its optimal use in clinical practice. Methods: A total of 10 studies, including randomized controlled trials (RCTs), observational studies, and cohort studies, were systematically analyzed. These studies focused on CBCT-guided implant surgery, low-dose CBCT protocols, and its role in preventing peri-implantitis. Quality assessment was conducted to evaluate the risk of bias and control of confounding variables. Effect sizes, including odds ratios (OR), relative risks (RR), and hazard ratios (HR), were calculated to measure the effectiveness of CBCT compared to traditional imaging methods. Heterogeneity was assessed using the Q statistic and I² statistic to evaluate variability across studies. Results: CBCT consistently demonstrated superior outcomes compared to traditional imaging methods. Odds ratios for implant placement accuracy ranged from 1.20 to 2.10, while relative risks for peri-implantitis prevention were between 1.25 and 1.70. Low-dose CBCT protocols showed comparable efficacy to standard protocols, effectively addressing concerns about radiation exposure. The quality assessment revealed a low risk of bias in 60% of the included studies, although heterogeneity was high (Q = 152.77, I² = 86.3%) due to variability in imaging protocols, equipment calibration, and operator expertise. Conclusion: CBCT significantly enhances Diagnostic precision, implant placement accuracy, and clinical outcomes in dental implantology. Despite Challenges such as cost and high heterogeneity, its clinical utility is evident. Standardized imaging protocols and further research on long-term cost effectiveness are recommended to maximize the benefits of CBCT in routine dental practice.