**4. Evaluate the anesthesia before treatment**

When dealing with a tooth that has been diagnosed with irreversible pulpitis or "Hot" tooth, it's critical to determine whether enough local anesthetic has been attained. Subjective and objective testing has historically been used to validate successive inferior alveolar nerve block (IANB). Signs such as lip numbness, probing the gingiva surrounding the tooth to be treated, and so forth are examples of subjective tests [13]. Patients should not suffer discomfort throughout therapy if they respond favorably to the subjective results. These approaches, however, are not confirmatory test for detecting pulpal anesthesia.
