A ground tooth is made by using a suqah tooth with a pestle and mortar. It is used in farming as part of the payment for protecting a spirit tree, along with five monkey nuts and a monkey bar. Ground tooth is also used in the making of the Waking Sleep Potion during the Lunar Diplomacy quest. The ground tooth is not tradeable and suqah teeth may only be obtained by killing suqah on Lunar Isle. According to Yulf Squecks, many gnomes enjoy eating this item as well.