by Benjamin Lund, Editor, Dentaltown Magazine
LSK121 specializes in three new areas to create some of the most realistic restorations in the world dental market
Much has changed at LSK121 since we first featured the
Naperville, Illinois-based dental lab on the cover of Dentaltown
Magazine two years ago. Fueled by the passion of lab founder
Luke Kahng, CDT, the lab has recently introduced its newest
improvements in its shade-matching system, all-on-four ceramic
cases and Kaleidoscope Wax-ups in order to produce some of the
most realistic restorations in dentistry. We recently sat down with
Kahng to learn more about these new specialties, how they were
developed and their positive impact on dentistry.
First, tell me about your Seasons of Life selections
shading system. Why did you choose Seasons of Life
as the name for your shade tabs? How does this system
ensure a good match for young, middle-aged
and elderly patients?
Kahng: As we age, our dentition changes. I was discussing
that process with Dr. Joseph Caruso of Chicago and he suggested
that I call my new shade matching system by this name.
I thought it was a great idea because it aptly identifies exactly
what we were talking about. Young people’s teeth match the
concept behind the 3.0 series – bright color and rough texture.
When we reach the age of 30 or so, we might begin to see a little
bit of staining to the teeth. As we age, this becomes more
intense which will often lead patients to bleach their teeth –
resulting in a white/clear/pinkish tone. In the later years, we will
begin to see transparency with dentin inside, exhibiting an even
darker color. Lifestyles and patients’ background will often play
a role in their teeth color, too.
My question for the dentist is: Do you have any tools to
mimic this process when you are prescribing your patients’
restorations? Our system breaks it down and simplifies it for all
dental professionals.
Is this a total replacement of your Chairside
Shade Guide?
Kahng: These shade tabs were born from the 2009
Chairside Shade Guide – versions 1 and 2. The difference is that
they are handmade ceramic shade tabs, with customized common
colors often used by the dentist. I was very pleased with the
results of my Chairside Shade Guide but because dentists are
used to shade tabs, I began to think that I needed to translate
my ideas into a language that is universally understood. Hence, the Seasons of Life shade tabs were created. The formula can be
duplicated and translated into any type of porcelain and can be
used comprehensively.
You had already put a lot of research into your
Chairside Shade Guide. What motivated you to continue
working on this?
Kahng: Honestly, with all the changes in dentistry and the
technology we employ, I have to ask why we are still using a 30-
year-old system for matching tooth color! Surely our advances
should lead to higher expectations from dental professionals.
This has become my passion and my mission – to change the
way we handle color matching.
We all talk about natural-looking restorations but we have
not had any tools that provide that distinction. I’ve spent countless
hours trying to produce a formula that can be easily replicated
and produced in a restoration. In the end, I know that
only about 30 percent of dentists will be interested in this system.
But I am hoping that they will consider it as a positive
change in the profession and a way to provide exactly what their
patients expect treatment-wise.
How did you arrive at the colors for this system? How
did you narrow them down? And are the shade tabs
manufactured or handmade?
Kahng: It took quite a bit of effort to narrow down the most
common colors from the millions that I have seen. I then had to
categorize the colors according to where the patient is in his life
and what changes we can expect to see in the natural dentition.
Sometimes we will see bright, high opacity, sometimes
dark, high transparency. In between there we can count on
seeing all kinds of modifications such as white calcification and shades of tan. Everything is organized based on colors
from bleaching and A1-D6. The difference is the enamel
modifications to create the different colors. The shade tabs
are handmade from porcelain ceramic. The specific formula
requires that for each one we follow a 12-step process, meticulously
measured and processed by the technician.
How does this new system work for the dentist?
Kahng: We have to take into consideration many aspects of
their cases – such as shade and shape – before we can begin. We
have all the traditional shade tabs here in our lab, as well as the
Seasons of Life shading system. We show them all to the patient
in an effort to better communicate the best color – it is all categorized
within the Seasons of Life shade tabs.
I recommend that the dentist buy one tray and test drive
it, step by step, in order to see how easily it works. Do you
have an abundance of young, middle-aged or elderly patients
in your practice? Choose one group and begin with that first.
Our shade tabs are simple to follow and the system is easily
taught to the staff. Traditional bleaching color shade tabs are
monochromatic and will not offer the many modifications we
actually see in the mouth.
What sort of feedback are you getting from dentists
and patients?
Kahng: We launched the system at the Chicago Midwinter
meeting in February 2012. The general feedback has been very
positive. One doctor even told me that he now understands natural
teeth characteristics after utilizing my shade tabs with his
patients! Our feedback has been especially positive regarding
cosmetic case color selection, deep translucency with enamel
modification, implant tissue and after-prep color. Clients especially
like the fact that this is an all-in-one shading system.
How does one learn about this system? Is it proprietary
to LSK121?
Kahng: Our lab has used only GC Initial Porcelain System
from GC America for more than nine years now. It will be offering
hands-on technician classes with formula replication
instructions. However, technicians do not have to be using GC
porcelain to get these results. They simply have to use a conversion
chart in order to achieve the same color replication. Yes, it
is proprietary only to LSK121 as of now.
Can you tell me why you say most restorations don’t
look natural and how your system helps with cosmetic
case acceptance?
Kahng: Many dentists work with insurance programs and
are under certain budget restraints. They can’t exceed that
budget to get a restoration with better looking color. They
have many expenses which must be met and so they continue
to work with their traditional shade tabs when trying to
match color.
Traditional shade tabs were created based on value, hue and
chroma – a truly scientific philosophy! My problem with them
is, in my experience, they do not match natural dentition. They
match fake teeth, yes, but not natural teeth. Why is this? In my
research, and after publishing 95 articles nationwide, it is
because the enamel overlay color is the same on each shade tab,
but we do not find this in natural dentition. In order to achieve
a real match with natural dentition, we must have a different
enamel overlay color on each shade tab. Only then will we be
able to provide more than a “guide” and begin to communicate
what the true color is.
We understand that you are now fabricating All-on-4
restorations using ceramic teeth rather than the traditional
denture teeth. Can you explain what made
you decide to do that?
Kahng: We have made tremendous efforts to fabricate the
best possible restorations, including fine-tuning our All-on-4
restorations. Several years ago we were using denture teeth which I have never thought look natural. They stain easily and
have to be frequently cleaned. This is a big inconvenience for the
patient. However, ceramic teeth do not have those inconveniences
and they look very natural
besides. For a bit more money,
the patient can expect better aesthetics,
hygiene and convenience
– translating to more confidence
in their appearance. Also, if a
tooth happens to crack, the dentist
can take a pick up impression,
send it to the lab and a new tooth
can be cemented or bonded to
the bar.
When a dentist works with
LSK121, what sort of communication
can they expect?
Kahng: E-mail, e-mail photos, Facebook, Constant Contact,
Web site, Skype – we utilize everything.
When we are working on a rehabilitation case, we take a picture
of each step and send it through e-mail to the doctor for
feedback and evaluation. We try to maintain this type of communication
as the key to successful restorations and casework.
What is the purpose of the color used in the treatment
plan Kaleidoscope Wax-up? What’s the benefit
of this for the dentist?
Kahng: This is a diagnostic tool as a guide for the dentist
and the patient. It offers precise and realistic preparation design
with its lifelike and realistic appearance. The doctor can follow
the design for a predictable outcome and for tissue design, if he
wants to. The Kaleidoscope Wax-up is helpful with case acceptance
for each patient’s different situation. We can, from the
doctor’s model, offer the best case design and alignment by
prepping moderately or with detailed guidance. We are also able
to narrow down our tissue design because without proper tissue
design, we cannot get the best cosmetic results. For case acceptance
from the patient, colored wax is useful for the final color
tone the case will eventually have.
Tell me a little bit more about
your lab and its future.
Kahng: We use our own
milling machine, along with multiple
scanners, which makes us a
“one-stop shop.” Our turnaround
times have become even better
with these additions. Also, we
recently added OccluZir to
our list of products. This is
a full-zirconia restoration
at an attractive price, with
more lifelike results.
We are a full service
United States laboratory,
which means we can fully develop combination cases. I know
that dentists have many options and are always looking for the
best solution to their casework – at the best price. We can fabricate
their high-end cosmetic and full-mouth rehab cases as
well as attachments, partials and take care of everything from
an immediate denture to a surgical guide to a final hybrid bar.
We have a fast turnaround time, with overnight delivery to
out-of-state doctors and excellent communication between
ourselves and the dentist. We take responsibility for all types of
prosthetic cases. After we diagnose and evaluate a case, we can
give the best possible solution to the dentist – at a fair and reasonable
price. That is my promise!
To learn more about LSK121 Oral Prosthetics, visit
www.lsk121.com, e-mail info@lsk121.com or call
888-405-1238.
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