Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare malignant tumor that develops in the jaw. It is a type of squamous cell carcinoma (SCC) with no connection to the oral mucosa. Predominantly, it affects mandible, although both jaw bones may be involved. Generally, there is high chance of a tumor being overlooked and misdiagnosed in an extraction socket. Failure of healing in an extraction socket may be the initial presenting feature of insidious malignancies. This case report highlights the importance of prompt and early diagnosis of potential malignancies which are likely to be misdiagnosed post exodontia.