When we use a traditional shade tab,
we are working with 4 to 5mm of composite
color. And yet, as technicians, we work
everyday with porcelain ceramic dentin
color. The value with that material is
high. This means that we are comparing
apples to oranges, so to speak, because
the two materials produce two different
results in appearance. The key answer is
in the enamel overlay process. How that
is applied changes everything about the
color but it must be chosen properly.
Rather than keeping these findings to
himself, Kahng has published more than 50
articles in many dental journals, has written
three books that deal with the natural appearance
of teeth, and recently created the Chair Side
Shade Selection Guide and Simple Enamel and
Prep Color Guide. He speaks nationally for GC
America and is one of the company’s top key
opinion leaders. His porcelain of choice is GC
Initial Porcelain system because he has “never
been able to achieve such aesthetic results
with any other product.” Kahng operates
via the philosophy of “you get back whatever you give, so why not give as much of your knowledge
and experience to those who are interested in learning as possible?”
Any practicing clinician is aware of the challenges he or she
has faced in establishing a reputation as a caring and trustworthy
doctor. Patients talk, and it’s widely recognized that they are
your best referral base. So how do you keep them loyal to you?
Aside from the obvious answers – friendly office staff and
hygienic surroundings – what else can you do?
In Kahng’s opinion, and from a lab standpoint, the answer
is easy: offer them the best in their restorations. This is why they
invented their own shade guide. Dentaltown Magazine recently
spoke with Kahng to learn more about his lab, LSK121 Oral
Prosthetics, his drive toward creating the most aesthetic and
natural-looking restorations for his clients, and what it takes
to create these kinds of patient-pleasing results.
First of all, Luke, why did you choose to pursue
a career as a certified dental technician?
Kahng: When I was a young man, I had a relative in South
Korea who worked in the dental field as a technician. His discussions
about the work motivated me to learn more and consequently
pursue it as a career. I began the process in South
Korea but moved to the United States one year
later to obtain a better education. That was 21
years ago and I have been here ever since.
Please tell us about the history of LSK121 Oral
Prosthetics. When did you form the company?
Why did you decide to start your own lab?
Kahng: I’ve studied with many excellent, world renowned
technicians in the course of my education. I even had
a series of private lessons in order to develop my skills to the
highest they could be. Every one of the technicians I studied
with gave me something valuable in my education. I wanted to
take each of the good things they had to offer individually,
incorporate them into my business plan, and thus utilize the values
they taught me. I did that by starting my own dental lab.
LSK121 was originally formed in 1996 under the name
Capital Dental Technology Laboratory, Inc. We have always
been located in Naperville, Illinois, but have moved several
times as the company grew in size. We came to our current location
in July 2006. In 2008, I renamed the company LSK121
Oral Prosthetics. LSK stands for my initials and 121 is a number
with personal meaning to me. It reminds me to always stand
behind my word and my business.
You’ve written several articles and even three
books on the importance of shade matching.
Why is shade matching so important to you?
Kahng: Everybody wants natural looking restorations but I
have noticed time and again that most don’t have that appearance. This is because traditional shade tabs, our standard tool, do not
match with the innate color in teeth. It has bothered me for a long
time. In fact, I think it’s a concern for many in the field. Dentists
want to be proud of the work they do for their patients, but they
feel less than satisfied when the crowns they cement don’t match
the adjacent teeth. By the same token, my colleagues are dealing
with a similar problem when they are prescribed an A1, A2, B1,
single shade, crown. They know it doesn’t look natural, but they
are just following the prescription. So what is the answer?
I put my passion for color into this question and began to heavily
research the solution. The articles and books I’ve written, and
my Chair Side Shade Selection Guide shading tool, are all a result of
this investigation. Whatever I discover is passed on to my readers
and I hope it motivates them to seek clarification. In the process, if
they try my solutions and the results give them pride, happiness
and confidence in their work, I have accomplished my goal.
As a Ceramist, my eyes are my livelihood. My pride in my
work has always come first. I’ve tested my theories, failed and retested
them until I got the answer I was seeking. My reputation
wasn’t established over night. It came from years of ardent
research and development. I sleep well at night knowing that I
am working hard to offer some of the best products made in the
USA. I value this country and everything it stands for.
Tell me about the process in developing your Chair
Side Shade Selection Guide. How much research did
it take to put the guide together? Other than for aesthetic
purposes, why did you develop this guide?
Kahng: Years ago, as I became even more serious about my
quest for answers, I began to take very detailed notes and photographs
about what I saw in patients’ mouths. With variations
by age, I noticed that most of the characteristics I saw in their
natural teeth were repeated over and over again. I thought this
information was worth sharing.
By the time I finished my research, I had hundreds of documented
patient cases, photographs and notes. Because we have
a full working operatory in our custom shade room, I am even
able to see many patients in my lab. I took the collected information,
created more than 100 zirconia restorations to fit these
characteristics, photographed and categorized them, and turned
them into my Chair Side Shade Selection Guide. The reason I
know I can guarantee results with this system is because I did
this ceramic work. There were no computer programs involved.
My hope was that the information in those pages would be
useful to most everyone in the field who had ever tried to take a
patient’s shade. The goal is to have all dental patients look like
they have been given a high-end, custom crown that matches
with their adjacent teeth.
A few doctors have said it’s too much information and, yes,
if you compare this shade guide to a traditional shade tab, it is
more than what we’re all used to doing. However, we’ve had positive
feedback from doctors both nationally and internationally.
The important thing to note is that the Chair Side Shade
Selection Guide duplicates natural teeth color exactly. Once you
become used to using it, you will have a clear understanding
about that concept and this system.
In order for the guide to work, the person using it must
understand enamel modification. It changes the tooth value and
hue and is the real difference in creating natural looking restorations – zirconia or metal, either one. When you grow used to
that concept, it‘s a wonderful feeling! You understand natural
teeth color! Enamel overlay, along with translucency modification,
makes a fake crown look natural because it changes the
translucency and cervical integrity.
Your shade guide helps with communication
between practices and labs, but with so much
shade variation in the restorations, does it take
longer to produce them?
Kahng: No. A technician should just use his regular base
color traditional shade tab and then prescribe the enamel modification
or occlusion stain and translucency modification. It’s a new way of thinking, that’s all, because it’s simply an addition to what
we’ve already been doing. Our LSK121 lab technicians are qualified
to create these restorations because they follow the codes the
doctor prescribes. We have mixed and produced our own porcelain
recipes, using the GC Initial Porcelain System, in order to
accommodate these modifications for perfect final results.
What can you guarantee dentists who choose to
work with your lab?
Kahng: Dentists will be assigned three technicians per case
based on their prescription Rx code numbers. This way, when a
technician goes on vacation or is out for a sick day, we are
assured that there are other technicians who are familiar with the
case. In addition, one of these technicians is assigned to the
quality control responsibility for the case to ensure that the
results are what the doctor ordered. By handling cases this way,
we assure ourselves and the clinicians that we are providing the
best possible quality control and a customized restoration
regarding occlusion, tooth morphology interproximal contact,
marginal integrity and color.
Our technicians complete the work they are assigned
using the LSK format, outlined in our Twenty Technician
Training Manuals. These manuals are the result of a high-end
concept taught only to LSK employees. They are divided into
two categories: 10 Production and 10 Technical manuals.
Once a technician has mastered the Production or
Guidebook techniques outlined in those ten manuals, he is
ready to advance and master the Technical system. This area of
expertise covers the following 10 subjects:
- Impression, prep and margin design
- Material selection
- Wax-up and frame design
- Implants parts ordering
- Teeth contour
- Porcelain build-up
- Polish and glaze
- Stain technique
- Occlusion
- Departmental quality control
All instruction manuals have been written based on my personal
philosophy and hands-on teaching techniques.
What about tooth morphology? Have you
addressed this subject at all?
Kahng: Yes, as a matter of fact, I have. Early in 2009 I published
a book entitled Anatomy from Nature. One of our doctors,
Dr. David Schubert of Plainsfield, Illinois, frequently
travels to Haiti doing donated dental work and he gives me
extracted natural teeth to study. Because of my interest – some
would say obsession – with this subject, I examine them, dissect
them and attempt to duplicate them by age, the worn aspect of
the cusps, direction of occlusion groove, and application of
detailed color modification.
In this process, I found myself interested in creating and
articulating my own 28 porcelain teeth, fabricated from the full
anatomy contoured wax-up I created first based entirely on these
findings. After creating the wax-up, I duplicated the wax-up by
creating study stone models. These models have since become
our employee training tools regarding tooth morphology, which
ensures predictability in their work.
I then fabricated my 28 porcelain restorations from root
to incisal edge, using GC Initial IQ Porcelain. They were photographed
as a full rehabilitation case, then by quadrant and
then individually.
The resulting images were made into a book, and are modeled
as a guide for technicians who wish to fabricate exact duplicates of
natural teeth (following height of cusp, buccal lingual contours and
occlusion morphology exactly). As a teaching tool, it is unique.
For more information about LSK121 Oral
Prosthetics, visit www.lsk121.com, www.lsk121resources.com, or call 888-405-1238. |