Purpose: The main target of our split mouth randomized controlled clinical trial was to evaluate how well laser assisted ridge preservation worked in conjunction with platelet rich fibrin (PRF) and/or bone clinical and radiographically. Subjects and Methods: Thirty extraction sockets from ten patients were split into three groups at random; group I treated by PRF and bone graft after atraumatic extraction, group II (PRF and laser assisted socket preservation) and group III (PRF, bone graft and laser assisted socket preservation). Width and height of the alveolar ridge observed at baseline, three and six months after treatment. Bone density recorded at six months after treatment using cone beam computer tomography (CBCT). Results: The mean ridge width in Groups II and III was statistically significantly higher than in Group I. After three and six months, there was no statistically significant difference between the three groups in ridge height. Group II had a higher mean of bone density. Conclusion: Within the scope of this research, laser-assisted ridge preservation appears to have better clinical and radiographic outcomes following tooth extraction.