This patient presented with a large lesion associated with a previously endo treated central Incisor with a open apex. The adjacent lateral tested non-vital. I did Endo on the lateral incisor. In the central, I decided to pack Calcium hydroxide till the lesion shrank in size before obturating with MTA. The plan was to keep the original crown in place till there was some evidence of bone fill. The patient disappeared for two years and came back with the lesion completely healed and a solid barrier formed apically through Apexification. I obturated with Gutta percha (No MTA needed) and Advised new crown

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