Am I too young to have an all on 4 procedure?

I agree with your dentist.
Most patients don't realize all-on-4 is a very aggressive procedure. In addition to removing all teeth, a significant amount of bone needs to be removed and shaped prior to placing implants.

Although most cases are successful in skilled doctors hands, there are plenty of cases that fail. When all-on cases fail, it's a disaster to redo the procedures. Some patients can be left crippled for the rest of their lives.

I'm not trying to talk you out of the procedure, but I would encourage you to see if you can save as many teeth as possible and maybe consider placing implants simply where you are missing teeth.

Another important fact about all-on restorations is that, homecare is very critical and it is more challenging to keep them clean on a daily basis, especially if the restoration is not properly design. This can lead to gum disease around implants and failure of the the entire restoration.

Age is not the main issue in my opinion. However, your teeth in upper arch are worth to treat and save. Because you have a good bone support around your most upper teeth. There may be sinus lift and implant treament at edentulous spaces.

The question you should be asking yourself is what your goals are with the treatment. All-on-4 is dictated not by age (in the case of adults) but by the amount of damage that has been caused to the remaining teeth. In other words if the existing teeth cannot be restored back to good health then you might be a candidate. However if the existing teeth can be restored (yes I know it requires time, effort and money to do this) then this should be your first priority. As someone that does plenty of All-on-4 cases, I will be the first to tell you that if you can save your existing teeth I would do that any day before considering All-on-4.

Hello!At the age of 33, your skeletal structure had already completed growth and all your teeth are/should be erupted. First off, you need to understand the etiology behind losing your teeth in order to prevent further teeth and bone loss in the lower jaw. The prognosis of the top teeth needs to be better evaluated with a 3 dimensional CT scan, we call it CBCT, to evaluate the amount of bone remaining around each tooth.In general, placing implants at your age provides a better result long term; your bone quality is optimal for implants, your roots are less likely to be ankylosed to the bone, and the healing process proceeds at a much faster rate. That does not mean you cannot get implants in the future, you just need to keep in mind that several medical conditions associated with aging, such as hypertension and diabetes could delay the healing and the implant integration process.Studying your options is the first step, you typically want to think of a long term solution that is sustainable and easy to maintain.Book for a consultation with a Prosthodontist and get their professional opinion.Hope that was helpful!

The age is not a factor for all on 4/6 or 8, the health of your mouth, gum, bone and root canal are.Keep in mind, if your teeth break easily, many issues with root canals, fillings, toothache and weak teeth, this mean you might be a candidate.I can see you have some missing teeth already, root canal problems, inlay/onlay.To check if you are a candidate for all on 4 implants we should see you in person, specially to see you gum and as well a Tomography to check the bone thickness, to analyze if you might need bone grafting.

There is no real age requirement for an All-on-4 procedure. I've seen many patients in their late 20s to early 30s who need all of their teeth removed. It is hard to tell from the 1 x-ray, but it does appear that you have had a lot of dental work, some of which has failed so you may be a good candidate for an All-on-4 procedure. Sometimes trying to save teeth that keep failing is a waste of time and money, I would recommend getting a second opinion from a dentist that does All-on-4 procedures or an Oral surgeon.

You are not too young to have the healthy, happy smile you desire. If most of your teeth are in poor condition, then having the all-on-four procedure is an effective way to remove any infection so that you can have fully functioning teeth and healthy gums for the remainder of your lifetime. If most of them are in good condition, then keeping your natural teeth is best. Although all-on-four can be a solution for people who have no other options, it can also be for those who do not want to deal with fixing many teeth problems over a number of years, until eventually, they will need dentures or dental implants. Be sure to do your research and get several opinions from board-certified oral surgeons before you make any decisions. 

first you have to understand difference between multiple implants and all on 4 implant. all on 4 is recommended when multiple [6 or 7 implants per arch] implants are not possible due to less bone quantity. now come to implant, in yr case i am not at all recommend full mouth implants, remember dental implant is last option, so do not go direct to full mouth implant.  replace missing teeth with implant. finish all required treatments in other teeth, take proper care and maintain good oral hygiene. 

An all on 4 procedure makes a lot of sense for a lot of patients.  That being said, their is maintenance for all dental treatments and no absolutes.  At the age of 33, that's a big step forward.
If cost is a concern, remove the teeth that cannot be treated and repair those that can.  Make investments in your dentition a little bit at a time.  Adding implants and crowns one at a time is much less invasive at such an early age.  Be sure to get multiple opinions and consultations before moving forward with care.

Many times patients within their 20-30s have presented with teeth that continue to break down no matter what they do. These patients get very frustrated spending money over and over again trying to save their teeth. In those cases where there is  continually decay and infection, then the better solution may be to have All on Four or better yet All on Six... In your particular case, you may benefit from a combination approach, which is crowns on natural teeth that can be restored and implants in those areas where the teeth need to be extracted or where teeth are already missing. A thorough examination with a CBCT would be required for an accurate assessment.