Pain around dental implants indicates inflammation which if untreated, can lead to peri-implantitis and loss of surrounding bone and gum tissue. Early peri-implantitis may be treatable, but in more advanced cases, removal of the implant may be the only viable and predictable option. The ridge can be grafted to restore any defect and then a new implant can be replaced. Here is a video about a patient who developed pain around her dental implant due to peri-implantitis and the treatment with implant removal using reverse torque technique and minor site bone grafting to restore the ridge.