AimTo analyse the effect of leucocyteâ and plateletârich fibrin (LâPRF) on bone regeneration procedures and osseointegration.Materials and MethodsAn electronic and hand search was conducted in three databases (MEDLINE, EMBASE and Cochrane). Only randomized clinical trials, written in English where LâPRF was applied in bone regeneration and implant procedures, were selected. No followâup restrictions were applied.ResultsA total of 14 articles were included and processed. Three subgroups were created depending on the application: sinus floor elevation (SFE), alveolar ridge preservation and implant therapy. In SFE, for a lateral window as well as for the transâalveolar technique, histologically faster bone healing was reported when LâPRF was added to most common xenografts. LâPRF alone improved the preservation of the alveolar width, resulting in less buccal bone resorption compared to natural healing. In implant therapy, better implant stability over time and less marginal bone loss were observed when LâPRF was applied. Metaâanalyses could not be performed due to the heterogeneity of the data.ConclusionsDespite the lack of strong evidence found in this systematic review, LâPRF might have a positive effect on bone regeneration and osseointegration.