A loose, painful, swollen, or infected dental implant deserves a careful evaluation—not a one-size-fits-all solution. The right provider should be able to determine whether the problem involves peri-implantitis, bone loss, a fractured component, bite overload, gum inflammation, or the implant itself. This guide compares six St. Louis-area practices with public-facing services for implant complications, replacement planning, full-arch reconstruction, bone grafting,…