Dr. Eduardo Nicolaievsky - Moderator
Episode summary
Dr. Eduardo Nicolaievsky, an oral and maxillofacial surgeon and Chief of the Oral and Maxillofacial Surgery Service at Mount Sinai Medical Center in Miami, moderated Day 1 of the ZAGA Edentulism 2025 conference in Barcelona. He previews a morning devoted to zygomatic implant rehabilitation, featuring Thomas Albrektsson on osseointegration as an immune-regulated response, Carlos Aparicio on the ZAGA Concept and non-invasive technique, and Leslie David on developing zygomatic expertise safely, and an afternoon on full-arch care covering terminal dentition and complication management. Nicolaievsky argues that zygomatic implants have been over-used and abused over the past five years and must be strictly indicated, treated as a last resort that demands correct diagnosis, readiness to execute, and honest awareness of clinician limitations. He regards digital planning as already mandatory and expects dynamic navigation, robotics, photogrammetry and AI to grow as tools, while insisting the clinician remains responsible for outcomes.
Key takeaways
- Dr. Eduardo Nicolaievsky is an oral and maxillofacial surgeon with over 30 years of experience and Chief of the Oral and Maxillofacial Surgery Service at Mount Sinai Medical Center in Miami Beach.
- He moderated Day 1 of the Edentulism 2025 conference, held June 5-7, 2025 in Barcelona, Spain.
- The Day 1 morning focuses on zygomatic implant rehabilitation with Thomas Albrektsson (osteoimmune-regulated osseointegration), Carlos Aparicio (the ZAGA Concept) and Leslie David of Toronto (becoming an expert safely); the afternoon covers full-arch rehabilitation with sessions on terminal dentition and, with Nick Ekberg, on complications.
- Nicolaievsky holds that zygomatic implants have been over-used and abused over the past five years and should be regarded as a last-resort therapy that must be absolutely indicated.
- He identifies three prerequisites for zygomatic treatment: diagnosing the case correctly, being ready to execute it, and knowing the clinician's own limitations.
- Zygomatic complications seen in his practice range from prosthetic problems from malpositioning and wrong implant design to implants entering the orbital cavity, sinusitis and soft-tissue problems.
- He considers digital planning already mandatory rather than a future development, and expects dynamic navigation, robotics, photogrammetry and AI to strengthen as supporting tools while the clinician remains responsible for outcomes.
What you'll learn
- Why the zygomatic implant should be treated as a last-resort therapy that must be absolutely indicated
- How to correctly diagnose a case, be ready to execute, and know your own limitations before attempting zygomatic surgery
- The most common zygomatic complications seen in practice: prosthetic malposition, wrong implant design, orbital penetration, sinusitis and soft-tissue problems
- How terminal dentition should be defined by anatomy, and when teeth can be saved rather than extracted
- Where digital planning, dynamic navigation, robotics, photogrammetry and AI fit as tools that support rather than replace the surgeon
About the guest
Dr. Eduardo Nicolaievsky
Dr. Eduardo Nicolaievsky is an oral and maxillofacial surgeon in private practice in Miami with more than 30 years of experience, running a full-scope practice spanning dentoalveolar surgery, implant dentistry, full arches, zygomatic implants, orthognathic surgery and facial trauma. He is Chief of the Oral and Maxillofacial Surgery Service at Mount Sinai Medical Center in Miami Beach and a visiting professor at the University of Miami School of Medicine. His practice, Blum-Nico Oral Surgery Associates, was certified as a ZAGA Center in Miami in March 2022. He lectured at Edentulism 2023 and moderated Day 1 of Edentulism 2025 in Barcelona.
Credentials: Oral and Maxillofacial Surgeon; Chief of Oral and Maxillofacial Surgery Service, Mount Sinai Medical Center, Miami Beach; Visiting Professor, University of Miami School of Medicine; ZAGA Center Miami (Blum-Nico Oral Surgery Associates)
ZAGA profile · LinkedIn · msmc.com
