Preservation of the natural dentition remains a primary objective in endodontic practice. When the pulp is diseased or necessitates removal for restorative reasons, it can be replaced with an artificial filling material. Esthetics, form and function are not primarily dependent upon a vital pulp after root maturation, but there are disadvantages to conventional root canal treatment. It has been suggested that endodontically treated teeth dry out over time and that the dentin in endodontically treated teeth undergoes changes in collagen cross-linking. Therefore, it has been suggested that endodontically treated teeth are more brittle and may fracture more easily than non- endodontically treated teeth. That shed light for new treatment modalities as regenerative endodontic treatment. Regenerative endodontic treatment requires three main components; stem cells, scaffold and signaling molecules. But a sterile medium is the corner stone for the treatment to succeed. There is no strict clinical protocol to follow due to the lack of abundant clinical trials in the literature. This study was conducted to test the efficacy of using the second generation of platelet concentrates; platelet rich fibrin (PRF) in the revascularization process. As PRF was known to contain growth factors which help in angiogenesis, neurogenesis, dentinogenesis, and osteogenesis. Twenty four patients with thirty maxillary permanent mature central incisors with closed apex showing signs/symptoms of pulp necrosis were selected from the outpatient clinic of endodontic department, Cairo University. An approval from the ethic committee and an informed consent from the patients were taken.Patients were randomly divided into two groups • Control Group: Root canal obturation (number of teeth=15)• Intervention Group: Revascularization using PRF (number of teeth=15) The outcome measures were evaluated clinically after 2 weeks, 1, 3, 6, 9, and 12 months postoperatively. Both groups showed 100% clinical success as complete resolution of the signs and symptoms were observed through the follow up period. No cervical crown or root fracture occurred in both groups after 12 months follow-up period. Intervention group showed a statistically significant difference of postoperative pain at 6, and 12 hours, while there was not any statistically significant difference of postoperative pain after 24 hours between the two groups.