So it seems that the teeth are indeed nerfed and not usable under 50.
Apparently they were nerfed at the launch of Kunark along with quest XP to prevent fast leveling for a month, and while quest xp has been restored the teeth are still nerfed. Could a GM please comment on this?
Please see this thread for reference:
https://www.project1999.com/forums/s...d.php?t=376186