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Ireland's Original Dedicated Tongue Tie Clinic

Specialist care
for tongue tie,
at every age.

The National Tongue Tie Centre: Ireland's first clinic dedicated entirely to the assessment and treatment of tongue tie. From From newborns to adults, our integrated clinical team provides thorough assessment, expert treatment, and the pre- and post-procedure rehabilitation that supports lasting functional improvement.

2 Decades Specialised Tongue Tie Care
1,000+ Patients treated
per year
3 Decades of Paediatric Medicine
The clinical team at the National Tongue Tie Centre
Shortlisted 2025
Irish Healthcare Awards
Patient Education Category
1st Ireland's first
dedicated tongue tie clinic
1,000+ Patients treated
annually
Tongue tie surgery under conscious sedation
7 IBCLCs - medicine,
physiotherapy,
nursing & midwifery
2 Clinic locations -
Clonmel & Naas
Our Clinical Approach

Not just the procedure.
The full picture.

Release Restrictions · Retrain Function · Relieve Tension

The National Tongue Tie Centre was founded on the understanding that tongue tie surgery is only part of treatment, not the entirety of it. Our integrated methodology addresses the restriction, the functional patterns that developed around it, and the whole-body tension the restriction has created over time.

This approach brings together the clinical expertise of a Consultant Paediatrician, Chartered Physiotherapists, Nurses, Midwives and IBCLCs - working together in one clinic. We assess thoroughly, prepare you before the procedure, and support you through recovery.

01
Release
CO₂ laser surgery performed by Dr. Justin Roche, Consultant Paediatrician. Ireland's only clinic offering this procedure under conscious sedation for infants aged 12 weeks to 12 years, where clinically indicated.
02
Retrain
Feeding therapy and myofunctional rehabilitation to retrain normal oral movement patterns. Our therapy team of physiotherapists, lactation consultants, and nurse specialists is led by Kate Roche, Chartered Physiotherapist and IBCLC, delivering pre- and post-procedure support to build the functional foundation for recovery.
03
Relieve
Physiotherapy and bodywork to address the tension patterns associated with restricted tongue function - in the jaw, neck, and throughout the fascial system.
The Clinical Team

A dedicated team.
A specialist focus.

The National Tongue Tie Centre is led by a Consultant Paediatrician and a Chartered Physiotherapist - both International Board Certified Lactation Consultants (IBCLCs). Tongue tie assessment and treatment is our sole clinical focus.

JR
Dr. Justin Roche
Medical Director & Co-Founder
Consultant Paediatrician Lactation Consultant IBCLC FRCPCH FRCPI
Provides all procedures, including frenectomy and frenuloplasty, at the centre, also Ireland's only frenuloplasty service for infants and children aged 12 weeks to 12 years under conscious sedation. Paediatric medical oversight for every patient.
KR
Kate Roche
Clinical Director & Co-Founder
Chartered Physiotherapist Lactation Consultant IBCLC Feeding Therapist
Leads clinical assessment, bodywork, and feeding and myofunctional rehabilitation. Brings a physiotherapy and lactation perspective to the full functional picture - before the procedure and through recovery.
Shortlisted 2025
Irish Healthcare Awards
Patient Education Category
Established
Ireland's First Dedicated
Tongue Tie Clinic
Ireland Only
Infant Sedation Frenuloplasty
Service (12 weeks – 12 years)*
Patient Experiences

In patients'
own words.

Verified Google Reviews
Siobhán Daly
Google Local Guide · Verified Review
Infant · Bottle Feeding
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. It is indeed a long way to Tipperary but it is entirely worthwhile.
Kat M
Verified Google Review
Infant · 7 weeks
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.
Elaine Micallef
Google Local Guide · Travelled from Malta
International Patient
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 โ€” 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.
Jennifer Whelan
Google Local Guide · 87 reviews · Returning patient family
Multiple Infants
Faultless. A streamlined, supportive and fantastic service from start to finish with a professional and enthusiastic staff that are passionate about what they do. Our session with Kate afterwards was incredible and we used her exercises and tummy time techniques for months afterwards. Shout out to Johanna โ€” honestly could not have kept breastfeeding so happily without her wisdom, kindness and patience. Just a really wonderful service and we are really lucky to have them in Ireland.

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.

tonguetietoolbox.com
The Tongue Tie Toolbox
For parents and families
For healthcare professionals
Tie Talk sessions โ€” live and on demand
Assessment, surgical and post-op courses
Education Platform

Education to help you
understand and prepare.

The Tongue Tie Toolbox is a comprehensive online education platform developed by Justin and Kate Roche. Whether you are a parent preparing for an assessment, a family navigating post-procedure recovery, or a healthcare professional looking to deepen your clinical knowledge โ€” the Toolbox provides accessible, evidence-informed content built on two decades of specialist practice.

Explore the Toolbox
International Patients
Travelling to us
from outside Ireland?

The National Tongue Tie Centre receives patients from across Ireland, the UK, and internationally. Our team is experienced in supporting families who are travelling for assessment and treatment, and can advise on pre-assessment preparation and remote follow-up consultation where appropriate. Please contact us to discuss your specific situation.

Important information: Frenuloplasty is a surgical procedure. All procedures carry associated risks, and individual outcomes vary. The National Tongue Tie Centre will provide you with full information regarding the risks, benefits, and realistic expectations relevant to your individual situation at your assessment appointment, before any decision to proceed is made. We encourage you to seek independent clinical advice if you have any questions about whether treatment is right for you.

*The conscious sedation service for children aged 12 weeks to 12 years is provided where clinically indicated, following comprehensive assessment. This claim reflects our current knowledge of available services in Ireland; we recommend contacting us directly to discuss suitability.