Erosion Ulcer

Erosion

  • Partial loss of epithelial or mucosal surface that heals by resolution (ie. replacement by fully functional tissue)

Ulcer

  • Full thickness loss of epithelial or mucosal surface which heals by repair (replacement with fibrous tissue) with or without resolution

Factors affecting rate of healing of ulcer

  1. Local
    • Persisting cause (acid secretion, continuing infection, continuing sepsis)
    • Persisting inability to detect damage (hypoasthesia, anaesthesia)
    • Poor blood supply - ischaemia
    • Neoplastic process (ulcerated carcinoma)
  2. Systemic
    • Malnutrition
    • Immune deficienc: diabetes, AIDS