What a blast from the past! This thankful patient thinks you missed your dentist vocation. It's now ready to take a bite of the future and to carry you to your next adventure, or your next patient.
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You can either hunt Lich , complete the Bonebeast or Undead Dragon killing tasks Until you loot a Maxilla Maximus .
Sometimes you can find Undead Cavebear deep in Lich Hell on Ramoa.
Use your Maxilla Maximus on the bear to attempt to tame it.
If successful, you will be able to ride the Cavebear and unlock this achievement.