When bone doesn't grow properly around an implant, the main sign is often mobility. At first, the movement might be slight and only recognizable by a dentist, but over time an implant that has failed to integrate will feel wobbly and could move when you chew or talk. An implant that has failed will be consistently movable.
Other signs of a dental implant that has lost osseointegration can include pain, swelling, or infection, but that's not always the case. If your dentist notices that your implant is mobile, they might recommend an X-ray to check your bone growth. An X-ray of a failed implant will likely show significant loss of bone around the metal portion of the dental implant.