The suqah tooth is obtained as a drop from suqah. It is an ingredient in the Waking sleep vial, required during Lunar Diplomacy; grinding the tooth with a Pestle and mortar turns it into a ground tooth, awarding the player 1 Herblore experience. It is also used in Farming as part of the payment to a gardener for a Spirit tree patch. Suqah teeth are required to obtain a tooth creature.
Players that have completed the Elite Fremennik Province Tasks can trade them for 9 pure essence each with Rimae Sirsalis. Up to 28 teeth can be traded this way (equivalent to 12,600 coins). They cannot be noted or stored in a familiar. After A Fairy Tale III - Battle at Ork's Rift, suqah teeth can be sold to the Tooth Fairy for 2,000 coins each.
After completion of the hard Fremennik achievements, Skulgrimen will exchange suqah teeth for suqah hide at a 1:1 ratio.
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- The examine text is a pun on the courtroom vow of "I promise to tell the truth, the whole truth, and nothing but the truth."