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It will probably need to be removed. Gum disease is the most likely culprit. Lack of healthy bone will make it loose and you will need a implant and crown to fix it.
Why is the tooth loose? Trauma, periodontal disease, or malocclusion (poor bite relationship between upper and lower teeth). Depending on the answer, I can provide further advice,
What to DO depends on WHY. Is it from bone loss? From a bad bite? Recent trauma? After that is established, the "what to do" phase is next. It may be a simple solution, it may be complex. So, what to do? See your dentist or periodontist ASAP.