With the increasing maturity of oral implantation technology, people's demand for implant restoration has extended from balancing aesthetics and function to pursuing fast and efficient restoration effects. Compared with traditional implantation methods, immediate implantation has become a research hotspot in the field of oral restoration due to its ability to quickly restore aesthetics and shorten the treatment course. However, how to improve its clinical success rate remains a core challenge to be solved, and good primary stability is the key factor ensuring the success of immediate implantation. Primary stability is jointly affected by the patient's local anatomical factors, implant design, and certain surgical techniques. Therefore, multi-link management is required in clinical practice to ensure primary stability, including evaluating the patient's own conditions, selecting an appropriate implantation system, achieving good primary stability through refined surgical methods or digital technology, and accurately judging primary stability after surgery, which can lay a foundation for the success of implantation surgery. This paper aims to systematically sort out and summarize the relevant factors affecting primary stability in immediate implantation, in order to provide reference for clinical practice.