Aim: The aim of this study was to assess clinically and radiographically 
the efficacy of the socket shield technique in maintaining facial contours and 
crestal bone after immediate implant placement, combined with PRF application. 
Subject and Methods: Sixteens patients with 16 implants were divided into two 
groups, Group “1": 8 Patients were subjected to socket shield procedure combined 
with immediate implant placement alone. Group “2": 8 Patients were subject to socket 
Shield technique and immediate implant placement combined with PRF application. 
Clinical parameters were gathered at baseline, 6-, and 12-months post-operative. 
Results: There was a statistically significant difference between (Group 1) and (Group 
2) in (mSGI), There was a statistically significant difference between (Group 1) and 
(Group 2) at 6 months in implant stability, and there was a statistically significant 
difference between both groups at 6 months in peri-implant pocket depth, there was 
no statistically significant difference between (Group 1) and (Group 2) in modified 
plaque index. Also, there was no statistically significant difference between (Group 1) 
and (Group 2) at different periods in bone density, In addition, There was a statistically 
significant difference between (Group 1) and (Group 2) groups at 12 months in (MBL). 
While there was no statistically significant difference between (Baseline), (6m), and 
(12m) between the two groups in labial bone thickness. Conclusion: The socket 
shield technique with or without PRF application was shown to be effective to achieve 
osseointegration without any inflammatory response. Using PRF with socket shield and 
immediate dental implants exhibited to be superior to immediate dental implants with 
socket shield alone in improving peri-implant conditions and dental implants.