Exam Preparatory Manual for Undergraduates: Complete Dentures Lovely M
INDEX
Page numbers followed by f refer to figure.
A
Abutment teeth endodontically 275
Acrylic dentures 262
Acrylic resin 99
copolymer 98
materials 75
Additional articulator requirements 141
Adhesion, factors affecting 118
Adhesives 103
Age and tooth color 151
Agranulocytosis 265
Allografts, types of 93
Alloplasts material 94
Alveolar
bone 122
groove 6
Alveololingual sulcus 11, 186
anterior region 187
middle region 187
posterior region 187
Angular cheilitis 235
treatment 235
Angular stomatitis 235
Anorganic bone 93
Anteroposterior guides, preparation of 143
Anti-gravity muscles 131
Anti-hemorrhagic stent 281
Arbitrary scraping of master cast 24, 231
disadvantages 24
Arch form 3
Arcon types 141
Articular disc 31
Articular eminence 30
Articulation quint 54
Articulator 44, 257
advantages of 44
classification of 44
requirements of 47
uses of 46
Artificial occlusion 162, 163
Artistic reflection 60
Atmospheric pressure 12, 21, 118, 125
factors affecting 125
Atwood classification 240
B
Balanced occlusion 165
in complete denture 208
Bar attachments, types of 89
Bennett movement 214, 246, 253
on cusp paths 246
types of 246
Bergstrom's point 261
Berry biometric index 261
Beyron's point 261
Biarthrodial joint 29
Bilateral balance
occlusal 53
occlusion, advantages of 49
Bioactive glass 94
Biofunctional prosthetic system 248
Bite blocks, functions of 121
Bone 270
from extraoral sites 93
from intraoral sites 92
quality 221, 240
swaging 93
to pressure, reaction of 163
to tension, reaction of 163
Bonwill's theory of occlusion 164
Bonwill's triangle 254
Bony undercuts 4
Border molding 14f, 70, 71, 72, 136
procedure 15
steps in 16f
Boucher's concept 55
Boucher's technique 72
BPS dentures, advantages of 249
Branemark classification 240
Buccal
corridor 66, 175, 176
denture base contour 67
flange 6, 10, 14, 20
frenum 6, 7, 10, 14, 56, 109, 219
notch 6
shelf 10, 220
area 220f
vestibule 6, 7, 10
Buccinator 113
Buccoposterior teeth 58
Buccolingual width of posterior teeth 58
Bull's law 262
Burning mouth
sensation 265
syndrome 205, 265
classification of 264
C
Calcium phosphate biomaterials 94
Calf bone 93
Camper's line 207, 208f
Candida-associated denture stomatitis 265
Capillary attraction 21, 118
Capillary blood flow 102
Capsular ligament 114
Cast alloys 239
advantages 239
disadvantage 239
Cast metal bases 125
materials for 125
Cast metal splints 281
Cast strengthener for repeated mandibular denture fractures 162
Casting procedure 126
Central incisor
position 65
to lateral incisor ratio 62f
Centric occlusion 166, 234
Centric relation 234
occlusion 235
Ceramic biomaterials, advantages of 244
Ceramic implants 134
Chairside technique 157, 189
Channel tooth 153
Cheek biting 90, 205
Chemical cleaning agents 153
Chew-in techniques, functional 192
Christensen's phenomenon 175, 215, 260
Class II occlusion 211
Cleft lip and palatal defect 280
Closed-mouth
impression 116
relining technique 70, 72
Cohesion 118
Cold-curing silicone rubber materials 76
Collateral ligaments 114
Compensating curves
factors affecting 149
types of 50, 148, 200
Complete denture 1, 78, 132, 137, 265
construction 245
diagnosis in 2
impression 16
in mandible, single 277
instructions to 174
lasers in 242
maxillary 277
occlusion 254, 162, 163, 166
requirements of 166
prosthesis 251
prosthodontics, management of 67
single 191, 194, 276
spacer designs in 190
stability in 26
support in 115
treatment plan in 2
wearers 266
Condylar guidance 50, 142, 144
Condylar instruments 142
Condylodiscal complex 32
Copings, types of 82
Copolymers 98
Coral-derived materials 95
Coronoid contour 6
Corticosteroids 265
Cusp tooth 51, 200, 229
posterior 212
Cuspal angulation 149
Cuspid 65
eminences 56, 219
Cuspless teeth 229
inclination of 51, 200
D
Decalcified freeze-dried bone allografts 93
Dental esthetics 61
Dentogenic restoration 64
Denture
adhesives 21, 203
disadvantages 203
against natural teeth, problems with single 193
base 259
extension of 27
support for 194
bearing area
in mandible 106
types of 105
cleansing agents 153
disadvantages of immediate 272
esthetics 58
existing 25
fracture of 161, 194
types 161
insertion 262
lining materials 74
looseness 89
lower 179, 180
mastication with new 175
midline fractures of 264
preparation of 70, 71, 73, 157, 196
retention 27, 186
with note on physical factors 117
shape 197
sore mouth 205
stomatitis 217, 265
treatment of 217
surfaces 197
together, both 179, 181
upper 179, 180
Dermasil 101
Devan's neutrocentric concepts 178
Diabetes mellitus 265
Diagnostic casts 105
Dibutyl tin dilaurate 76
Distoclusion 211
Dynesthetic considerations 64
E
Edentulous mouth 16
Embrasures 66
Endosteal implants 167
Envelope of motion 215
Epithane 102
Epulis fissuratum 217, 232
cause of 263
Esthetic dental proportion 63
Extraoral tracer 42f
parts of 42
F
Face, size of 56
Face-bow 260
advantages of 222
mounting 36
parts of 38, 221, 221f
record 36
transfer 260
procedure 35
types of 37, 127
uses of 35, 38, 127
Facia face-bow, parts of 38f
Facial measurements 218
Facial musculature 19
Fenestrated splint 281
Fibrocartilaginous zone 29
Fixed condylar articulators 236
types 236
Flabby ridges, impression for 171
Flabby tissues, impression technique for 170
Flat mandibular ridge impression 202
Floor of mouth 3
lowering 173
Fluid wax technique 24, 25, 120
advantages 24
disadvantages 24
Folate 265
Food
catching 90
for denture wearers 270
Fracture, types of 161
Free way space 128
Frenal attachment, classification of 108
French's concept 54
Frush and fisher concept 61
G
Gagging, causes for 263
Geriatric
age changes 244
dentistry 270
Gingival tissues 59
Ginglymoid joint 29
Glenoid fossa 30
Glycoproteins 29
Gnathologic instruments 146
Gnathology 146
Gnathoscope 147
Gold alloys 18
Golden proportion in
dental esthetics 61, 61f
dentistry 61
Gothic arch tracers 225
Graft materials, classification of 92
Gum line 66
Gunning splint 281
Gysi's concept 53
H
Hamular notch 8
Hanau articulator 47, 258
parts of 48f
Hanau's concept 54
Hanau's quint 50, 198, 200f
modifications of 198
Hanau-mate 45
Hard palate 3
Hard tissues 163
Head region 3
Heat-cure silicone rubber materials 77
Hormonal imbalance 206
House articulator 45
House's classification 185
of palatal throat forms 182
of soft palate 182
HTV silicones 100
curing 101
Hybrid dentures 229
Hypermobile ridge tissue 170
I
Immune defects 265
Immunosuppressive drugs 265
Impaired hearing 205
Implant
bed 134
biomaterials 134, 243
design for osseointegration 134
Impression techniques, types of 17
Impression
primary 256
secondary 256
Impression tray 160, 256
functions of 160
types of 160
Incisal 144
guidance 50, 142, 143, 150, 199
setting up 143
guide pin 49
papilla 56, 219
table 49
Incisive fossa 6
Incisive papilla 7
Incisor position, lateral 65
Infrahyoid muscles 131
Interdental papilla 66
Interfacial surface tension 20, 118
Interim dentures, advantages of 181
Interim obturators 135
Interim prosthesis 271
Intermaxillary relations 194
Interocclusal check record 91
Intraoral cancellous bone marrow transplants 92
Iron 265
J
Jaw
movements 270
relation 136, 259
procedure for 248
records 80
Jiffy denture 271
K
Kiel bone 93
Kinematic face-bow 37, 127
Kingsley splint 281
Knuckle-shaped residual ridge 273
L
Labial denture base contour 67
Labial flange 6, 7
Labial frenum 5, 6, 9, 109
Labial notch 6
Labial vestibule 6
Labiolingual splint 281
Leon William classification 173, 173f
Leon William theory 261
Leukemia, acute 265
Lever balance, unilateral 53
Levin's concept 55
Levin's quad 55
Librating line, posterior 119
Ligaments 31
accessory 115
functional 114
three functional 114
two accessory 114
Light-cured resin repairs 162
Lingual
cutaway 66
flange 10
frenum 10
surfaces 20
Lingualized occlusion 176, 178f
Lip 197
examination 3
support 64
loss of 59
switch 172
Lott's concept 55
M
Macroglossia, cases of 226
Magnetic denture retention 89
Mandibular
arch 9f, 14f, 252
structures of 252
structures of maxillary 252
basal seat 9
bases 126
component 30
denture 5, 72
final impression 9f
movement 214f
classification of 213
occlusal plane 123
occlusal rims, dimensions of 122f
rim 123
tori 252
Masseter muscle 110
region 10
Masseteric notch 183, 253
Maxillary 15, 252
and mandibular arch 253
arch 16f
size of 56, 219
area in mouth 6f
basal seat, function of 107f
bases 126
clutch joint 227
denture 5, 70, 72
bearing areas 5
primary stress-bearing in 105
final impression 6f
molar crown 122
occlusal plane
adjusting 123
procedure in 123
resorbed ridge 203
ridge, displaceable 172
rim 123
dimensions of 122f
submucosal vestibuloplasty 172
tubercular fossa 6
tuberosity 8, 15
Maxillofacial
materials 282
prosthesis 102, 279
rehabilitation 281
Maxillomandibular relations 56, 220
Meatal obturator 136
Medial pterygoid muscle 111
Median palatine
groove 6
raphe 7
Mental foramen area 10
Mentolabial sulcus 123
Mesioclusion 211
Mesostructure 169
Metabolic imbalance 206
Metal bases over resin bases, advantages of 125
Metal denture bases 125
Methylmethacrylate 99
advantages 99
classification 100
disadvantages 99
Minimal-pressure impressions 17
Mixing plaster for impressions 171
Modiolus 183
Monoplane occlusion 254
Monson's curve 152, 152f
Mouth temperature, type of 257
Mucocompressive technique 17
Mucosa 270
Mucostatic 17
Muscle
and frenal attachments 3
control 12
in maintaining postural position of mandible to maxillae 131
of facial expression 112
of mastication 110
of tongue 197
Myerson's lingualized integration 177
Mylohyoid ridge 10
N
Nasolabial sulcus 123
Natural coral-coralline calcium carbonate 94
Natural occlusion 162, 163
Natural teeth 78, 122, 163
Neck region 3
Neil classification 186, 240
Nerve supply 32
Neutrocentric concept of occlusion 165
Neutroclusion 210
Newton's classification 265
Niswonger's method 34, 218
Non-anatomic teeth 262
grinding of 159
Nonarcon instruments 142
Nonarcon types 141
Non-balanced lingualized occlusion 177
Nonbone graft material 94
Nutritional deficiencies 206, 265
O
Obturator 280
prosthesis 280
therapy 136
Occlusal balance 50
unilateral 53
Occlusal disharmonies 192
Occlusal form of natural teeth 194
Occlusal materials for single denture 193
Occlusal rim 121
to ridge 122
Occlusal variations 210
Occlusion
based on geometry, classification of 209
conical theory of 164
theories of 164
types of 52
Omohyoid 131
Ongue-Wright classification 185
Open-mouth 17
impression technique 72
technique 203
Oral
hygiene with dentures 175
musculature 19
Orbicularis oris 112
Organic concept of occlusion 165
Organic occlusion, phases of 165
Osseointegrated implants 134
Osseous coagulum 92
Osteoporosis, type of 270
Overbite 247, 247f
Overdenture 229, 273
advantages of 82, 274
classification of 274
disadvantages of 82, 274
support for 275
therapy 275
treatment 229
Overjet 247, 247f
P
Palatal lift prosthesis 95
Palatal mucosal graft 173
Palatal obturator procedure 136
Palatal seal, posterior 6, 22f
Palatal throat form 183
Palate, vibrating line of 8
Palatine fovea region 8
Pantograph, parts of 43
Parallelism of ridges 3
Patient tolerance 12
Permanent denture liners 74
Permanent lining materials 75
types of 75
Phonetics 218
Plaster impressions, failures with 171
Plasticized acrylics 77
Plasticized vinyl acrylics 76
Plica palatinae 107
Polyurethane elastomers 98, 101
Postglenoid tubercle 30
Potential denture space 196
Pounds formula 261
Pre-extraction records 218
Premature contact 158
Pre-prosthetic surgery 255
Preston and red proportion 63f
Prostheses 5
Prosthetic problems 245
Prosthodontic 251
branches in 251
consideration 107
Proteoglycans 29
Protrusive balance 51
Protrusive occlusal balance 53
Provisional jaw relation 248
Pterygoid muscle 31
inferior lateral 111
lateral 111
superior lateral 111
Pterygomandibular raphe 253
Pterygomaxillary
notch 8
seal 6
Puddling of plaster 171
R
Red smile design 63
Relining technique, steps in 69
Remount procedure 154
Remounting 90
advantages of 90, 155
Residual ridge resorption 240f, 255
management of 242
Resin retention 126
Restoration, location of 135
Retromolar pad 10, 184
significance of 184
Retromolar region 10
Retromylohyoid curtain 253
RTV silicones 100
curing 100
Rugae 6, 7
functions of 252
types of 107, 108f
S
Sagittal christensen phenomenon 176
Saliva 3, 20, 270
amount of 27
in denture retention, role of 27, 28
Scissor-bite 153
technique 153, 212
Sclera 94
Sear's concept 54
Sear's posterior teeth 153
Sear's teeth 153
forms, modification of 153
Selective grinding 155
Semiadjustable articulator 140, 144
Setting condylar guidance in articulator 142
Silicone
elastomer 98, 283
liners, disadvantages of 269
Silverman's closest speaking space 129
Siphenylene 101
Skin 270
Soft denture
liners 268
lining materials 268
Soft palate 4, 183
classification of 4f
defects 281
prosthesis, types of 282
Soft tissue 162
hyperplasia 232
Sonic cleaners 154
advantages 154
Sounds 258
Spee
curve of 147, 148f
incorporation 147
Speech 186, 258
sounds, types of 236
Sphenomandibular ligament 115
Split thickness skin 173
Squint test 151
Stereographic recording 139
Sternohyoid 131
Sternothyroid 131
Stylohyoid 131
Stylomandibular ligament 115
Subatmospheric pressure 18
Sublingual gland region 11
Subperiosteal implants 168
parts of 168
technique of 169
Suprahyoid muscles 131
Synovial fluid, production of 31
Synovial membrane 32
T
Tactile sense 218
Teeth
anterior 55, 58
arrangement 206, 249
anterior 80, 138
posterior 80, 138
artificial 163
color of 59, 151
composition of anterior 57
form of
anterior 56, 220
features of modified 153, 212
posterior 57, 212
fracture 161
in complete denture fabrication, posterior 57
lateral plane of 152
lower posterior 148f
material of anterior 57
number of posterior 57
posterior 165
preparation for minimal retention 84
replacement
anterior 161
posterior 161
selection 80, 138, 179, 249
anterior 219
posterior 245, 261
shade of
anterior 57, 220
posterior 57
shape 174
size of
anterior 56, 219
posterior 57
socket of anterior 273
supported complete denture 132
types of 251
Teledyne articulator 141
Temporalis muscle 110
Temporary denture liners 74
Temporomandibular joint 3
anatomy of 29
components of 30, 30f
anatomy of 31
development of 29
functions of 29
ligament of 114, 115
mandibular movements 253
pain in 205
stereographic 139
Temporomandibular ligament 114
Tentative obturators 135
Temporomandibular joint 30f
Throat
form, lateral 186
lateral 184
Thyrohyoid 131
Tissue
irritation 89
preparation 69, 157
ulceration 89
Tissue conditioner 77, 195, 268
advantages of 188
disadvantages of 269
in mouth
placement of 196
preparation of 196
thickness of 268
use of 195
Tongue 3, 184, 197
adaptability of 186
classification of 185
position 124
size of 185
space 180, 185
causes of lack of 180
Tonus 131
Torus palatinus in maxilla 4
Transpositional flap vestibuloplasty 172
Trapozzano's concept 55
Trapozzano's triad of occlusion 198
Trubyte articulator 140
U
Undecalcified freeze-dried bone allograft 93
V
Vertical relations, significance of 33
Vestibuloplasty 172, 173
Vibrating line
anterior 8, 119
posterior 8
Vinyl polymers 98
Vinyls, types of 99
Viscosity of saliva 28
Visible light cure resins 76
Vitamin
B12 265
deficiencies 206
W
Willis gauge 234
Wire adaptation 234
Wood classification 240f
X
Xenografts 93
Xerostomia dentures 20
Zero-degree cuspless teeth 229
Zest anchor system 88
Zygomatic process 7
×
Chapter Notes

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FM1Exam Preparatory Manual for Undergraduates: Complete DenturesFM2
FM3Exam Preparatory Manual for Undergraduates: Complete Dentures
Lovely M MDS (Prosth) DNB (Prosth) PhD Professor Department of Prosthodontics Sree Mookambika Institute of Dental Sciences Kulashekharam, Tamil Nadu, India Foreword K Chandrasekharan Nair
fm4
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© Digital Version 2018, Jaypee Brothers Medical Publishers
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Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
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Exam Preparatory Manual for Undergraduates: Complete Dentures
First Edition: Digital Version 2017
9789386107985
fm5Dedicated to
My dear husband Dr Biji Thomas George & My son Joshuafm6
fmv7Contributors fm9Foreword
Exam Preparatory Manual for Undergraduates: Complete Dentures by Dr Lovely M is an updated version of the Review of Complete Dentures that has emerged into a complete new title within a short span of seven years. Any branch of science will progress tremendously within this period. Dentistry has followed suit. But the science of complete dentures per se has not shown a voluminous change especially when we review the literature, but an intelligent integration with dental implantology has happened. In the clinical front, prosthodontists have started revalidating the unchallenged wisdom of many of the clinical practices. Advanced diagnostic tools like cone-beam CT has emboldened the intellectual and critical stand of the practitioners— may be the future of complete denture practice will have more factual foundations than logical assumptions!
Dr Lovely has recognized these facts and broadened the scope of her book. Usefulness of this title has merged the borders of undergraduate and postgraduate education. Question- answer format was not initially accepted by many teachers stating that students will refrain from reading textbooks. A brief market survey reveals the fact that this is the most successful model amongst the students. The review type books ensure that the students know the essentials of the subject. Ultimately, what do the teachers want? The student should learn the basics of the subject. In that respect, Dr Lovely has fulfilled her mission in making the students learn the subject.
K Chandrasekharan Nair
Professor Department of Prosthodontics
AECS Maaruti College of Dental Sciences Bengaluru, Karnataka, India
fm11Preface
Exam Preparatory Manual for Undergraduates: Complete Denture is primarily designed to be a quick revision tool just before the examinations for the Final Year BDS students as well as the postgraduates. Due to the good response from students and feedback received from the Review of Complete Dentures (the Mother Edition), it was decided to include viva, synopsis and recent advances in short to benefit the postgraduates also. However, I hope that this book will also be useful for practising dentists and a quick reference for anyone seeking to find answers for questions. I have put in great efforts to incorporate the best from all the standard textbooks in complete dentures in the writing of this book.
It is not, however, a replacement for textbooks, and students are expected to have gone through the textbooks during their study period. This will help them to grasp the concepts in this review better. The last ten years’ question papers from all major universities in India have been collected and the solutions to almost all essay and short note questions have been included.
Such a venture could not have been possible without the help of many people. First of all I thank God, for enabling me to complete this book. I especially thank to Prof K Chandrasekharan Nair, for his invaluable help and time in going through and correcting the proofs of this review and also for writing a foreword and the section on tips for students on how to write the university examinations. Thanks are due to my many friends and colleagues all over India who sent me question papers from their universities. Special thanks to my department colleagues Dr James Rex, Dr Shibu A (Readers); Dr T Sreelal (Professor); Dr KS Arunachalam (Professor), for their encouragement and help. I must thank Ms Dhanya, for her help in drawing the diagrams which are included in this review. Last but not least, I thank my parents and in-laws, for their encouragement and support. I owe my gratitude to Mr Sudheer, for editing the contents of this book. I especially thank Dr Rema V Nair, Director, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Tamil Nadu, for her support and encouragement.
I sincerely hope that students and dental practitioners will find this book useful.
Even though utmost care has been taken to ensure accuracy, mistakes could have inadvertently crept in and I do apologize in advance for the same. Any comments and suggestions are especially welcomed and I will try to implement them in future editions.
Lovely M
fm17A Look into the Essay
A student of dentistry is trained to become knowledgeable, skilful in various clinical processes, laboratory procedures and communication and the student should develop an attitude to patients, colleagues and to the society at large, which is befitting to a professional. Essay question is an essential tool used to evaluate the knowledge of a student of dentistry. In a class examination or the final qualifying examination, essay is asked to evaluate the knowledge of the student. Very often it is used as a part of an assignment given to the student. Essay allows the student free expression and organization of thoughts. Essay gives an insight into the depth of knowledge; to be precise from a mere recall of facts to understanding and to application. The following examples will give an insight into “the depth of knowledge”:
  1. List five commonly used impression materials (Recall).
  2. Classify impression materials into elastic and non-elastic based on the physical state of the set material (Understanding).
  3. Select an appropriate impression material to be used in a partially edentulous situation (Application).
The first question can be answered if you learn by heart a list of impression materials. As such this will not be asked as an essay question but it can form part of an essay question. To answer the second question, the knowledge base must be broad and systematized. To answer the third question you should have the capability of reasoning and intelligence.
The expression of the question should be understood first. There will be a verb in the question which will decide precisely what the question is intended for. A few of such verbs are listed below:
Analyze:
Various components of a concept is identified and the inter- relationship is described.
Compare:
Describe the similarities of two or more things.
Contrast:
Describe the differences of two or more things.
Define/Describe:
Give the definition and describe the components of the topic.
Discuss:
Different aspects of a problem are presented and a conclusion is drawn.
Enumerate:
Give a listing of the topics asked and briefly describe each.
Justify
Your point of view presented must be argued.
Outline:
Provide the main points of a topic.
Summarize:
Outline the main points briefly.
State:
Present the points clearly.
Outline of the essay: Before answering the essay question, an outline of the essay must be made and it would indicate all the major points included in the essay. By doing this, the thoughts will be organized and no major point will be missed. The answering becomes fast and even if the answering is not complete, some credit will be given for the points given in the outline.
Between two answers sufficient space should be given so that at a later stage you can come back and more points can be added if necessary and if there is time. While starting the answer, immediately get to the point asked for. If the question asked is on vertical dimension, start with a statement on vertical dimension.
fm18Components of an essay: There are three main components for an essay:
  1. Introduction
  2. Main body
  3. Conclusion
Introduction is generally begun with a general issue on the topic asked and then narrowed down to the specifics that are discussed in the essay. Background information is given in the introduction which will make the subject content of the essay more relevant. A statement is also included on what you understand from the question. If possible a restatement of the question can be made with an outline of what is going to be discussed in the body of the essay.
The body should be arranged logically from a focal point and should contain a series of paragraphs which are packages of information. Each paragraph starts with a topic defining sentence which is expanded with details, examples and illustrations. There must be an uninterrupted flow of thought. Unnecessary statements which do not have relevance should be avoided because it is going to affect the time management.
Information in the conclusion moves from the specifics to the general and summarizes the content of the body. It provides a generalized answer to the question but new points cannot be made. Always devote some time to write the conclusion. Abrupt endings are never relished by the readers.
In the introduction you state what you are going to say, in the body state what you have to and in the conclusion state what you have already said.
Time management: Effective time management is essential in examinations or else you will find it difficult to complete the answering of all the required questions. Familiarize with the scheme of the examination and find out the marks for each question. Accordingly the time can be allocated for each question in a realistic fashion. Before answering, read the question carefully three times and this will give you clarity on what is asked. Make the outline and note down the key points and prioritize them. If the time allocated for one question is exhausted, leave it with some space to come back later if you get a chance to. Plan the time in such a way that at least five minutes are left at the end for correction of errors and to make a revisit to the questions which are not completed.
Strategic approach: Questions can be categorized as follows:
On the Previous Night
On the Examination Day
 
Helpful Tips
 
Examination Panic
If you feel examination panic set aside 5 minutes to deal with it:
 
In Short