Primary stability derives mainly from mechanical involvement with the cortical bone and the lack of mobility in the bone bed at the insertion of the implant and depends on the quantity and quality of the bone, the surgical technique, and the design of the implant. The titles were captured in the database PubMed, Scielo, and relevant Brazilian magazines to identify the primary stability, after the insertion of the implant in the region indicated in the protocol. Tapered implants showed greater primary stability compared to cylindrical implants, when placed under bone density conditions. The geometry of the implant is an important factor in the degree of primary stability. Based on this, large threads are desirable in cases of poor bone quality. The insertion torque values are very important for the clinical determination of the levels of primary stability and the absence of micro movements whenever an immediate load is applied. The implant, used as if it were the last cutter, when correctly inserted, penetrates with pressure in the bone store if its diameter is larger than that of the cutter perforation. The implant design plays an influential role in achieving its primary stability.