Book an
appointment
We offer specialist tongue tie evaluation and treatment for infants, children, and adults at our Clonmel clinic and Saturday outreach clinic in Naas. All appointments begin with an initial evaluation — use the booking form below or contact us directly by phone.
Not ready to book yet?
A free Concerns Call with a member of our clinical team takes 15 minutes and helps you decide whether an appointment is the right step before committing.
Which pathway is right for you?
All appointments begin with an initial evaluation — €350 for all age groups. Select the pathway that matches the age of the person being seen. This will tell you exactly what to expect, what the full pathway involves, and what the total fees are before you commit.
Infants — 0 to 12 weeks
Feeding difficulties, poor latch, nipple pain, reflux, slow weight gain. CO₂ laser frenectomy pathway. Most straightforward pathway with lowest total fees.
View full pathway → 3 – 6 monthsInfants — 3 to 6 months
More complex pathway. Frenuloplasty under conscious sedation — unique to NTTC in Ireland. Requires structured pre-operative preparation before surgery can proceed.
View full pathway → 6 months – 16 yearsChildren — 6 months to 16 years
Speech, fussy eating, mouth breathing, snoring, dental crowding, jaw development. Myofunctional therapy and physiotherapy are central to outcomes. Pathway involves substantial pre- and post-operative therapy.
View full pathway → 16 years and overAdults
Jaw pain, headaches, neck and shoulder tension, difficulty swallowing, snoring, sleep-disordered breathing. Often missed in infancy. Full functional assessment and fascial physiotherapy before surgical release under local anaesthetic.
View full pathway →All initial evaluation appointments are €350 regardless of age group. Full pathway fees vary and are itemised on each age-group page. See also the full fees page.
Select your appointment
Use the booking form below to schedule your initial evaluation. If you would prefer to book by phone, call us on 052 610 8009 during clinic hours.
Your initial evaluation — step by step
All NTTC pathways begin with an initial evaluation appointment. This is a comprehensive assessment — not a brief screen. Allow approximately 1.5 to 2 hours. Here is what happens.
A Chartered Physiotherapist assesses oral function, tongue mobility, jaw movement, cranial and fascial tension, and whole-body posture. For infants, feeding mechanics and latch are observed.
For infants and young children, an IBCLC assesses feeding at the breast or bottle — latch quality, transfer, maternal nipple symptoms, infant weight gain, and feeding behaviour.
Dr. Justin Roche reviews the full clinical picture — history, examination findings from both previous assessments, and his own examination. Diagnosis and a treatment plan are discussed with you at this stage.
You leave with a clear diagnosis, a recommended treatment plan, an outline of the pathway ahead, expected timeline, and full fees — before committing to anything further.
What to bring and what to know
A little preparation makes the appointment run more smoothly. Below is a checklist by patient type.
Two clinic locations
Evaluation appointments are available at both locations. All treatment and surgical appointments are at Clonmel. The Naas clinic operates on Saturdays only.
Before you book
Do I need a GP referral to book?
No. Self-referral is accepted for all age groups. A GP or other professional referral letter is helpful but not required. If you have relevant reports — from an SLT, IBCLC, orthodontist, or lactation consultant — bring them along to the evaluation, but their absence will not delay your appointment.
What does the initial evaluation cost?
The initial evaluation is €350 for all age groups. This covers the physiotherapy assessment, feeding assessment where relevant, and the medical consultation with Dr. Roche. If treatment is recommended, the pathway fees are outlined in full at the end of your evaluation appointment before you commit to proceeding. Full fee information is available on our fees page.
How long will the appointment take?
Allow 1.5 to 2 hours for the initial evaluation. The appointment involves three sequential components — physiotherapy assessment, feeding assessment where relevant, and medical consultation — so it is comprehensive. Please do not schedule anything immediately after it.
Can I book at Naas if I want treatment?
Yes. The Naas clinic is available for initial evaluation and assessment appointments on Saturdays. Where treatment is recommended following your Naas evaluation, it is performed at the main NTTC clinic in Clonmel. The same clinical team — including Dr. Roche — sees you at both locations.
What if I had a tongue tie release elsewhere that didn't work?
We see a significant number of patients who have had a previous release that did not resolve their symptoms, or where reattachment has occurred. Please bring any previous assessment or surgical reports. A full re-evaluation is required before any revision procedure can be considered. See our failed release and revision page for more detail.
Is there insurance cover for tongue tie treatment?
Some procedures may be partially covered by health insurance depending on your provider and policy. We recommend contacting your insurer directly before your appointment to check your entitlements. We provide itemised receipts for all appointments. Full details are on our fees page.
Can I speak to someone before booking?
Yes — our free Concerns Call is designed exactly for this. A member of the clinical team will speak with you for approximately 15 minutes, listen to your concerns, and give you honest guidance on whether an evaluation is likely to help. There is no obligation to book. You can schedule a Concerns Call at tonguet.ie/concerns-call.
Get in touch
If you would rather book by phone, have a question before booking, or need to reschedule an existing appointment, contact us through any of the following.
Ireland's specialist tongue tie centre
Treating tongue tie across all ages since 2007. Over 1,000 patients seen annually. A multidisciplinary team of 7 IBCLCs, consultant paediatrics, physiotherapy, and specialist nursing — all under one roof in Clonmel.
