Suqah tooth

The Suqah tooth is obtained as a drop from the Suqah. It is used in making the Waking Sleep Potion for the Lunar Diplomacy quest. Use the tooth with a Pestle and mortar to turn it into a Ground tooth, awarding the player with 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 Milk tooth creature. Suqah teeth cannot be noted.

Rimae Sirsalis
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. They cannot be noted or stored in a familiar.

Tooth Fairy
After Fairytale III - Battle at Orks Rift, Suqah teeth can be sold to the Tooth Fairy for 2,000 coins each. This compares favourably with coins equivalent of 9 pure essence.

Trivia

 * 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.'