title: Self-inflicted dental injury presenting as localized anterior tooth surface loss.
abstract: A case of localized anterior tooth surface loss (TSL) with an unusual aetiology is reported. Whilst suffering from a bout of acute depression and anxiety, a 29-year-old female caused significant trauma to her anterior dentition with a pair of fabric scissors. The presentation and management of this case is described.
  
  
  CONCLUSIONS
  Although tooth surface loss is a common clinical finding in many patient groups, practitioners should be aware of possible unusual aetiologies which may be involved.
authors.affiliation: Restorative Dentistry, St George's Hospital, GKT Dental Institute of King's College London, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Porter
authors.forename: Neil
authors.initials: N
authors.lastname: Poyser
authors.forename: Harpal
authors.initials: H
authors.lastname: Chana
authors.forename: Martin
authors.initials: M
authors.lastname: Kelleher
authors.forename: Manish
authors.initials: M
authors.lastname: Patel
mesh_terms: D000328:Adult; D003743:Dental Enamel / Q000293:injuries; D003793:Dental Restoration, Permanent; D005260:Female; D006801:Humans; D007180:Incisor / Q000293:injuries; D012652:Self Mutilation; D014072:Tooth Abrasion / Q000209:etiology*; D018677:Tooth Injuries / Q000209:etiology