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Endodontic therapy of a tooth with open apex and necrotic pulp presents multiple challenges during treatment. Microbial elimination from chronic lesions makes treatment all the more difficult. Apexification and pulp revascularization are the treatment options available. Apexification with calcium hydroxide has certain disadvantages and mineral trioxide aggregate (MTA) may be considered as a promising alternative. Case description: This case report describes the management of a symptomaticdoi:10.5005/jp-journals-10048-0042 fatcat:47cstp3r7zbl3iao7u4uro2kbq