Aim: This study was designed to compare between autogenous fresh tooth graft 
with/without platelet rich fibrin on osseodensification of immediate dental implant.. 
Subjects and methods: Twelve implant fixtures were inserted in 6 patients divided 
equally into two groups. The patients were selected from those attending outpatient 
clinic, Oral and Maxillofacial Surgery Department, at the Faculty of Dental Medicine, 
Boys, Assiut, Al-Azhar University .Clinical examination was made to all patients as: 
Quality, quantity of the bone, mucosa, contour of the underlying bone and crown to 
bone relationship. Preoperative panoramic radiographs and cone beam CT were taken 
for every patient to determine alveolar bone height & width. The change in the implant 
stability and bone density was measured using cone beam computerized tomography 
(CBCT) immediately, and after 6 months of healing. All readings were recorded and 
analysis and statistically. Results: The mean value of horizontal and vertical bone 
loss in group (1) and group (2) at 6 months showed statistical significant differences 
between two groups.The mean value of bone density in group(1) and group(2) at months 
955.00 ± 52.92 and 670.83 ± 8.01 respectively with statistical significant differences 
between two groups. Conclusion: It may be concluded that this method is valuable 
for preservation of alveolar bone and obtaining vital and good quality bone structure.