The objective of this study was to evaluate the effect of leukocyte platelet-rich fibrin (L-PRF) on immediate implant stability and recovery. A total of 60 immediate implants were evaluated. After the extraction, using split-mouth design, test sockets were coated with L-PRF (L-PRF+) and control sockets were not (L-PRF−). All the implants were followed for 12 months. Results showed a statistically significant difference between the stability of L-PRF+ and L-PRF− implants at 1 week and at 1 month. Mean marginal bone resorption was higher in the control group at 1 year.