1. Ignore pain for a day or so per standard operating procedure.
2. Find step 1 untenable and turn to the nearest pharmacy. Using Google Translate and a handy chart behind the counter, indicate “tooth pain” and receive what surely must be a topical pain-reliever. Open box and realize you’ve received a weak form of aspirin.
3. Seek superior solution at 7/11. Obtain cheap alcohol and use to numb liberally based on the previous advice of a NYC oral surgeon.
4. Try to be a tough guy and eat ramen for dinner because you’re in Japan and ramen is to be eaten always. Regret this on first spoonful. (Eat it all anyway.)
5. Upon coming to terms with the fact that this is not a temporary situation, begin to have overly dramatic but serious existential dread about pain, life, and travel.
6. While you try to be zen, wonderful wife tries to find find English-speaking dentist in Kanazawa. She fails. You both consider the irony that only 2 days earlier you were in Tokyo, where there are many.
7. But she is successful in finding one in your next destination, Kyoto. Both become amazed that not only do they respond to her email inquiry immediately, but that they can fit you in soon after you arrive.
8. Try to relax, thinking to yourself how fortunate you are that this happened in mega-advanced Japan instead of elsewhere. Google “dental care in Japan” just to be safe. Realize this was a terrible idea as you sit awake in pain reading horror stories. Revert to crisis mode.
9. Arrive at the dentist nervous that they will give you a root canal without anesthesia in a dirty room with other patients (see above).
10. But of course instead have a wonderful, painless and friendly appointment for only $135 (which is fully covered by your travel insurance). It was just a cavity.
P.S. if you happen to find yourself in Kyoto, Japan with tooth pain, we highly recommend Nakai Dental Office.