Abstract
Tuberculous infection is more common in developing countries which are often overlooked by most of the doctors due to improper medical case history. This causes further complications as they proceed with their procedure. Till date, in dentistry, 90 such cases have been reported in literature. Hence, a dentist should be suspecting preexisting tuberculous osteomyelitis or postextraction complications from such an infection in patients with a positive history of tuberculous infection. Diagnosis as such is often overlooked despite a high prevalence of the disease in high-burden countries such as India. We report this case because of the rarity of its clinical presentation, which was misdiagnosed as odontogenic problem instead of preexisting tuberculous osteomyelitis in the mandibular retromolar region.