Aim: This study was designed to evaluate immediate implant placement combined with sticky bone and enriched fibrin membrane for teeth exhibiting periapical pathosis clinically, radiographically and resonance frequency analysis. Subjects and methods: Thirteen immediate implant combined with sticky bone and CGF membrane were inserted in 13 patients suffering from teeth with periapical pathosis indicated for extraction. Preoperative cone beam CT (CBCT were taken for every patient to determine alveolar bone height, width and bone defects The change in the implant stability and bone density readings were measured using ostel device and (CBCT) immediatly, and after 6 months of healing. Results: the mean values of ISQ was 48, 02 1ry stability . After 6 months, the mean value was increased to 72. Increasing of ISQ was observed with the time with significant statistical difference in the value of ISQ in whole time of evaluation and There was statistically significant increase of bone density readings after 6 months. Conclusion: The Immediate implant placement combined with sticky bone and enriched fibrin membrane for teeth exhibiting periapical pathosis is a successful technique