I just checked some images of the 90mm/2.8 LS and it does have a PC sync socket. Knowing that, my previous post seems correct - you have to hook up the lens to your flash system somehow.
If your flashes don't have pc sync ports, you're going to have to connect the pc sync cable to something else. It seems there are two grips available for the 6x7 system, one with a hotshoe and one with a cold shoe (see
https://www.pentaxforums.com/forums/48-pentax-medium-format/64605-hotshoe-grip-6x7.html). The hotshoe ones apparently have a sync port which, instead of connecting to the camera body with a cable, you could connect to the lens. Then, you can use your flash or trigger in the grips shoe.
You could also look into a trigger system that allows PC sync connection. I use a fairly cheap Yongnuo setup that unfortunately doesn't have it anymore (older unavailable models do) but I do know the older Pocket Wizards used to allow you to hook up the triggers to your PC port. Not sure if the newer models still do.