ABSTRACT In the recent years, there is a paradigm shift in the management of necrotic immature permanent teeth, with most of these teeth being treated by revascularization rather than conventional apexification procedure. Current regenerative endodontic protocols (REP) emphasizes the need to have a disinfection protocols that will enable good disinfection without causing damage to stem cells. The current available evidence suggest that true pulp-dentin complex is not being formed after REP, nevertheless it can result in continued root development that will enable such tooth to survive for a long time. This article highlights the recent trends in revascularization procedures. How to cite this article Velmurugan N. Revascularization of Necrotic Immature Permanent Teeth: An Update. J Oper Dent Endod 2016;1(1):18-24.