Title: Altered state of consciousness in dental office – Conf. Univ. dr. Cristian Nicolescu

Dr. Cristian Mircea Nicolescu is an exceptional physician with a vast experience in the field of Anaesthesia and Intensive Care, with an impressive career both in medical practice and in academia. After starting his professional practice as a resident in Anaesthesia and Intensive Care between 2000 and 2005, he continued to specialize in this field, obtaining his specialist title between 2005-2010. Since 2010, Dr. Nicolescu became a primary physician in Anaesthesia and Intensive Care, and from 2011 to the present, he has been the Head of Anaesthesia and Intensive Care I, demonstrating leadership and a continuous commitment to improving the quality of patient care.

In parallel, Dr. Nicolescu has been actively involved in medical education, contributing to the training of future specialists. Between 2015 and 2018, he worked as an Assistant Professor in the Surgical Semilogy, and from 2022 to 2025, he is the Head of the Medical-Surgical Emergencies discipline in the Dental Practice. From 2025, he will also hold the position of University Lecturer in the same discipline.

In the field of research, Dr. Nicolescu obtained the title of Doctor of Medical Sciences in 2018, with his PhD thesis entitled “Assessment of plasma albumin level as a potential biomarker of severe clinical prognostic potential in polytrauma and major surgery”, thus contributing to the advancement of knowledge .

This presentation refers to a neurological complication commonly encountered in dental offices. Altered states of consciousness is considered the most frequent complication and is primarily caused by six factors: vasovagal syncope, orthostatic hypotension, hypoglycemia, stroke, seizure syndrome, and cardiorespiratory arrest. In addition to discussing the causes, this presentation also covers the clinical manifestations that help in recognizing these conditions, as well as the emergency measures that the dentist must take until the mobile intensive care team arrives.