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Patients who present with non-vital immature permanent teeth pose a special challenge to dentists and require a specially tailored treatment plan. Wide tubular canals usually seen in young permanent anterior teeth often affected by trauma pose an endodontic situation where achieving apical seal is difficult because of the wide apical foramen with a nonconstrictve terminus. This case report presents the clinical procedure used to produce a hard tissue barrier in the open apex, and into which gutta percha along with the sealer was condensed by a special custom made technique.

Open apex, Calcium hydroxide, Apexification, Custom made obturation technique