For severe toothache in Vietnam, visit any established dental clinic in major cities immediately; most accept walk-ins for emergencies and have English-speaking staff. Take over-the-counter pain medication, rinse with warm salt water, and avoid chewing on the affected side while finding care. Vietnam's dental infrastructure is excellent, with treatment costs 60 to 70 percent less than Western countries while maintaining quality. At Picasso Dental Clinic, we see emergency patients without appointments at all locations. Since 2013, we've treated thousands of dental emergencies among over 70,000 patients from 65 nationalities, providing same day relief and definitive treatment.