Background: The dialect spoken by children influences diagnostic decision-making regarding the identification and severity of speech sound disorder (SSD). Aims: The primary objective was to review papers that examined the influence of dialect on the identification of SSD in Vietnamese-speaking children. Methods & Procedures: Five studies of mono- and multilingual Vietnamese-speaking children living in Vietnam and Australia were reviewed to examine the influence of dialect on the assessment and analysis children's speech. The main Vietnamese dialects (Standard, Northern, Central, Southern) differ in the production of consonants, vowels and tones. Main contribution: Most speech assessments define correct production using the standard dialect of a language. Insights from recent studies of Vietnamese provide recommendations for also considering dialect in diagnostic decision-making. First, we recommend adding column(s) to the assessment score sheet that includes the dialectal variants spoken by adults in the child's family or community. Second, we calculate the accuracy of production twice, based on the standard form and dialectal form. Third, we report the percentage of consonants correct--standard (PCC-S) and percentage of consonants correct--dialect (PCC-D). Conclusions & Implications: Diagnostic decision-making is influenced by dialectal variation in children's speech, so speech and language therapists need to compare standard and dialectal productions when undertaking assessments, analysis and diagnostic decision-making.