Have loose tooth is pulled off or from?

Have loose tooth is pulled off or from?

Question:

Gender: female
Age: 55
I this year 55, there is growing (upper) very loose, encounter cold is painful, gums are often sore, want to go out again afraid pain, is to let it fall or unplug? Hope can give help, thank you!

Treatment:

Suggestions to the hospital dental remoal.