You should use Spy++ to take a look at the dialog.  The class name is important and the control ID of the button.  If it is a native Windows dialog then the class name should be "#32770".  In which case you'll have a lot of use for my post in this thread.  Here is another in C#.  You change the button text by P/Invoking SetWindowText() on the button handle.
using System;
using System.Text;
using System.Drawing;
using System.Windows.Forms;
using System.Runtime.InteropServices;
class SetDialogButton : IDisposable {
    private Timer mTimer = new Timer();
    private int mCtlId;
    private string mText;
    public SetDialogButton(int ctlId, string txt) {
        mCtlId = ctlId;
        mText = txt;
        mTimer.Interval = 50;
        mTimer.Enabled = true;
        mTimer.Tick += (o, e) => findDialog();
    }
    private void findDialog() {
        // Enumerate windows to find the message box
        EnumThreadWndProc callback = new EnumThreadWndProc(checkWindow);
        if (!EnumThreadWindows(GetCurrentThreadId(), callback, IntPtr.Zero)) mTimer.Enabled = false;
    }
    private bool checkWindow(IntPtr hWnd, IntPtr lp) {
        // Checks if <hWnd> is a dialog
        StringBuilder sb = new StringBuilder(260);
        GetClassName(hWnd, sb, sb.Capacity);
        if (sb.ToString() != "#32770") return true;
        // Got it, get the STATIC control that displays the text
        IntPtr hCtl = GetDlgItem(hWnd, mCtlId);
        SetWindowText(hCtl, mText);
        // Done
        return true;
    }
    public void Dispose() {
        mTimer.Enabled = false;
    }
    // P/Invoke declarations
    private const int WM_SETFONT = 0x30;
    private const int WM_GETFONT = 0x31;
    private delegate bool EnumThreadWndProc(IntPtr hWnd, IntPtr lp);
    [DllImport("user32.dll")]
    private static extern bool EnumThreadWindows(int tid, EnumThreadWndProc callback, IntPtr lp);
    [DllImport("kernel32.dll")]
    private static extern int GetCurrentThreadId();
    [DllImport("user32.dll")]
    private static extern int GetClassName(IntPtr hWnd, StringBuilder buffer, int buflen);
    [DllImport("user32.dll")]
    private static extern IntPtr GetDlgItem(IntPtr hWnd, int item);
    [DllImport("user32.dll", CharSet = CharSet.Auto)]
    private static extern bool SetWindowText(IntPtr hWnd, string txt);
}
Usage:
        using (new SetDialogButton(1, "Okay")) {
            printDialog1.ShowDialog();
        }