Vita Machiulskiene

VM1Professor Vita Machiulskiene obtained her dental degree in 1987 and pursued her postgraduate studies in Operative Dentistry & Endodontics between 1993 and 1994 from the Aarhus University, Denmark. She then completed her PhD in Biochemistry in 1999. She is currently a Professor and holds the position of Head of Clinic of Dental and Oral Pathology, Faculty of Dentistry at the Lithuanian University of Health Sciences (LUHS) since 2009.

Professor Machiulskiene has been a member of the European Organization of Caries Research (ORCA) since 2000 and is the current President of ORCA since 2015. She was also the Co-President and host of the 57th ORCA Congress in Kaunas, Lithuania in 2011.

She is an associate editor of a peer-revieed scientific journal ‘Lithuanian Medical AssociationMedicina‘. She is a chair of the PhD committee for Dentistry, member of the Dental Faculty Council and member of LUHS’s research foundation.

Professor Machiulskiene’s main research interests are diagnostic aspects of caries process in hard dental tissues; clinical aspects of caries lesion behavior in response to various modes of non-operative treatment.



Essentials of Clinical Caries Diagnosis

It has been shown years ago that the surface features of caries lesions reflect the underlying mechanisms of de- and re-mineralization in the hard dental tissues. Since part of the caries process is self-controlled and reversible, the purpose of the clinical diagnosis is to identify carious lesions based on certain clinical criteria, in order to evaluate needs for treatment and to choose the most optimal management strategies. Setting the lesion detection threshold at the pre-cavitated level of lesion severity increases the chances for successful non-restorative care. Furthermore, the ability to differentiate the detected lesions according to their stage of activity allows dental professionals to interfere with progression of the lesions. The aim of this presentation is to provide the background for clinical detection of caries lesions as for the primary tool of caries diagnosis despite the inherent limitations of the visual-tactile examination.