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If dental pulp injury occurs in immature tooth, root development is halted producing several complications. There are a number of protocols to manage nonvital open-apex teeth. Platelet-rich fibrin (PRF) is widely used to accelerate soft and hard tissue healing which can be used as matrix. A 21-year-old male reported with the chief complaint of broken, discolored tooth, occasional pain, swelling and pus discharge in upper front region. Based on the clinical and radiologic findings the diagnosis of chronic periapical abscess with open apex with 11 was made. On first visit, triple antibiotic paste was placed in canal. On second visit after 21 days PRF was placed in periapical region over which mineral trioxide aggregate (MTA) plug was placed. On follow-up visit after 6 months, tooth was asymptomatic and nontender.

Apexification of Immature Necrotic Tooth with MTA using Platelet Rich Fibrin as an Internal Matrix