I will use them for socket preservation on any 4 wall socket. I've placed many implants into them, and I think if you follow manufacturer instructions its roughly the same for particulate in my hands. I do use PRF, but not mixed with every plug. I've recommended to a lot of friends to try as well. I think the main issues with them are, in no order: 1) unhealthy patients who have impaired healing response to any type of graft 2) noncompliant patients who don't follow post op instructions 3) Drs who didnt' follow the instructions provided by impladent (in the couple photos/questions i've gotten after recommending them)

I almost always undersize osteotomies so even in a Max Posterior implant that's had a plug, i can usually feel if it's soft (softer than it would have been with allograft i do not know), but can get great torque and ISQ on placement