The procedures of conventional cephalometric analysis included tracing on the tracing paper, landmark identification, and angular and linear measurement. However, conventional cephalometric analysis was gradually taken the place by digitization of radiographic films and cephalometric analysis, which reduce the radiation burden, the operational costs, the environmental burden, and most importantly, save the time. The aim of this article is to review the related studies comparing digitized and conventional cephalometric radiographs with respect to reproducibility of angular and linear measurements or accuracy of landmark identification.