Specialist care for tongue tie, at every age.
The National Tongue Tie Centre provides thorough evaluation, expert CO2 laser treatment, and the pre- and post-procedure rehabilitation that supports lasting functional recovery - for newborns through to adults.
tongue tie care
per year
medicine, physio & nursing
patients treated
Ireland's only conscious sedation service
Frenuloplasty for infants and children aged 12 weeks to 12 years, where clinically indicated.
Consultant Paediatrician & Chartered Physiotherapist
Both co-founders are International Board Certified Lactation Consultants (IBCLCs).
Clonmel & Naas clinics
Co. Tipperary and Co. Kildare. Saturday outreach clinics in Naas.
Integrated assessment and rehabilitation
We do not offer same-day surgery. Every patient receives a full evaluation and written report before any decision is made.
Still searching for answers?
Tongue tie presents differently at every age - and is frequently missed, misdiagnosed, or incompletely treated. If any of these experiences sounds familiar, you are in the right place.
Book a Free Concerns CallMy baby won't latch or keeps slipping shallow
Breastfeeding is painful, feeds take a long time, and repositioning hasn't helped.
My baby had a release, but things haven't improved
A tongue tie was divided elsewhere but feeding difficulties, reflux, or weight gain remain unresolved.
My baby or child is refusing feeds or fighting the bottle
Feeding has become distressing - arching, gagging, or only feeding when drowsy.
My child has speech, sleep, or eating difficulties
Tongue tie identified in infancy or suspected now - speech therapy alone hasn't been enough.
I've had jaw pain, headaches, or difficulty swallowing for years
A tongue tie missed in infancy - or a release that didn't include rehabilitation - can have lifelong effects.
I'm not sure whether tongue tie is the issue
You don't need a diagnosis before contacting us. That is what our evaluation is for.
Assessment first. Always.
We do not offer same-day surgery. Every patient at the NTTC receives a thorough evaluation before any treatment decision is made. You will leave with a written report and a clear recommendation.
Evaluation appointment
Comprehensive assessment of tongue and oral function, feeding observation, and full clinical history.
Written report
You receive a clear written report of our findings and recommendations, including whether treatment is indicated.
Pre-procedure preparation
Where treatment is recommended, we prepare you and your child with feeding therapy and bodywork before surgery.
Procedure and rehabilitation
CO2 laser procedure followed by structured post-procedure feeding therapy and medical follow-up with Dr. Roche.
Not sure whether to book an evaluation or a Concerns Call? If you have questions about whether we are likely to be able to help, start with our free 15-minute Concerns Call. A member of our clinical team will listen to your concerns and advise you on the right next step.
Not just the procedure. The full picture.
The National Tongue Tie Centre was founded on the understanding that surgery alone is rarely sufficient. Our methodology addresses the restriction, the functional patterns that developed around it, and the tension the restriction has created throughout the body.
Release Restrictions
CO2 laser frenectomy or frenuloplasty by Dr. Justin Roche, Consultant Paediatrician. Ireland's only service offering this under conscious sedation for infants and children aged 12 weeks to 12 years where clinically indicated.
Retrain Function
Feeding therapy and myofunctional rehabilitation to retrain oral movement patterns before and after the procedure, led by Kate Roche, Chartered Physiotherapist and IBCLC, with a team of physiotherapists and lactation consultants.
Relieve Tension
Physiotherapy and bodywork to address fascial tension patterns in the jaw, neck, and throughout the body associated with a restricted tongue - the component most often omitted elsewhere.
Ireland's only conscious sedation service
Functional frenuloplasty for infants and children 12 weeks to 12 years, where clinically indicated.
7 IBCLCs in one clinic
Medicine, physiotherapy, nursing, and midwifery - an integrated lactation team without parallel in Ireland.
Established 2007
Ireland's first dedicated tongue tie clinic. Over 1,000 patients treated annually across all age groups.
Written report for every patient
Clinical findings and recommendations documented at your assessment appointment, before any decision is made.
Shortlisted: Irish Healthcare Awards 2025
Patient Education category, for the Tongue Tie Toolbox education platform.
The right pathway, for every stage.
Tongue tie presents differently at every age. Select the group that matches your situation to find out what an appointment involves and what we can offer.
Newborns & young infants
Breastfeeding difficulties, latch problems, feeding pain, reflux, colic, and slow weight gain in the early weeks.
- Comprehensive evaluation & written report
- CO2 laser frenectomy where indicated
- Pre- & post-procedure IBCLC support
- 6 week medical follow-up with Dr. Roche
Older infants
Persistent feeding difficulties, feeding aversion, bottle refusal, and reflux in infants where initial concerns were not fully resolved.
- Evaluation & written report
- Functional frenuloplasty under conscious sedation
- Pre- & post-procedure feeding support
- 6 week medical follow-up with Dr. Roche
Children
Speech difficulties, fussy eating, mouth breathing, snoring, dental crowding, and tongue tie identified late or missed in infancy.
- Evaluation & written report
- Functional frenuloplasty (conscious sedation to age 12)
- Feeding therapy & myofunctional rehabilitation
- Medical follow-up with Dr. Roche
Adults
Jaw pain, headaches, neck tension, difficulty swallowing, snoring, sleep apnoea, and tongue tie missed or incompletely treated in childhood.
- Evaluation & written report
- Functional frenuloplasty
- Myofunctional rehabilitation
- Medical follow-up with Dr. Roche
Find your symptom. Find your answers.
Tongue tie presents differently at every age. Select the symptom that reflects your experience and we will explain what may be happening and how we assess it.
Frenuloplasty under conscious sedation
For infants and children aged 12 weeks to 12 years, where clinically indicated. The National Tongue Tie Centre is the only clinic in Ireland offering this service - allowing older infants and children who would not otherwise tolerate the procedure to access functional frenuloplasty in a safe, controlled clinical environment.
Find out moreA dedicated team. A specialist focus.
The NTTC is led by a Consultant Paediatrician and a Chartered Physiotherapist - both IBCLCs. Tongue tie assessment and treatment is our sole clinical focus.
Dr. Justin Roche
Medical Director & Co-FounderPerforms all procedures at the centre - frenectomy and frenuloplasty - including Ireland's only frenuloplasty service for infants and children aged 12 weeks to 12 years under conscious sedation, where clinically indicated. Provides paediatric medical oversight for every patient.
Kate Roche
Clinical Director & Co-FounderLeads clinical assessment, bodywork, and feeding and myofunctional rehabilitation. Brings a physiotherapy and lactation perspective to the full functional picture - before the procedure and throughout recovery. Leads the NTTC's team of physiotherapists, IBCLCs, and nurse specialists.
In patients' own words.
Verified Google Reviews from patients of the National Tongue Tie Centre.
"What distinguishes the clinic from other clinics is the level of in-house expertise and aftercare, ensuring that parents are fully equipped with follow-up exercises to maximise the success of the tongue tie release. Other practitioners may offer a tongue tie release but cannot offer the post-procedure physiotherapy or feeding therapy a week later. I can fully appreciate why people travel globally to Justin and Kate."
"From start to finish we were completely put at ease and given clear, helpful advice at every appointment. The staff were so friendly, patient and knowledgeable, which made the whole process feel very reassuring. The aftercare guidance was excellent too, and we felt genuinely supported throughout."
"We flew from Malta for our baby's tongue tie release, and I couldn't be happier with the care we received. Dr. Justin and Kate are incredible - professional, warm, and truly dedicated. Kate's bodywork sessions were so helpful, and I left with great tips to continue improving tongue mobility at home."
The above are excerpts from verified Google Reviews published by patients of the National Tongue Tie Centre. Individual experiences and outcomes vary. These reviews reflect patient experience of care and do not constitute a guarantee of clinical outcome.
Not sure where to start?
Book a free 15-minute Concerns Call with a member of our clinical team. We will listen to your concerns and tell you clearly whether an evaluation appointment at the NTTC is likely to be the right next step for you or your child.
