Ireland's specialist centre
for tongue tie care
Founded by a Consultant Paediatrician and a Chartered Physiotherapist who are both also IBCLCs, the NTTC brings together clinical expertise, lived experience, and a genuinely multidisciplinary approach to the assessment and treatment of oral fascial restriction across the lifespan.
Built by parents who needed us first
Kate and Justin founded the NTTC not from a business plan but from personal experience. Six children, a shared clinical background, and years spent understanding that tongue tie is not simply a feeding problem but a whole-body, whole-life issue.
What began in the paediatric day ward in Tipperary now serves families from across Ireland and internationally, with a team of specialist clinicians and support staff working to a single shared standard.
Read our full story →
Consultant Paediatrician
Justin has been treating tongue tie since 2007 and pioneered the routine use of conscious sedation for Functional Frenuloplasty in children from 12 weeks of age in Ireland. A Fellow of the American Laser Study Club and former board member of ICAP, he presents regularly at international conferences and continues to develop clinical standards in this field.
Full profile →
Chartered Physiotherapist
Kate brings expertise in paediatric feeding therapy, orofacial myofunctional therapy, and craniosacral therapy. Her clinical approach integrates feeding, posture, fascial restriction, and functional rehabilitation into a coherent framework. She presents internationally alongside Justin and leads the NTTC's clinical education and professional development work.
Full profile →Release restrictions. Retrain function. Relieve tension.
Tongue tie is not resolved by surgery alone. Our model combines thorough multidisciplinary assessment with prehabilitation, the appropriate surgical release for the patient’s age and presentation, and structured physiotherapy-led rehabilitation. Lasting improvement in function requires all three, in the right sequence.
Multidisciplinary evaluation of oral structure, function, feeding, airway, and the whole patient picture before any clinical decision is made.
CO2 laser procedure tailored to the patient’s age and presentation. Infants may be treated with frenectomy. Children from 12 weeks can access Functional Frenuloplasty under conscious sedation. Adolescents and adults are treated under local anaesthetic. Precision and completeness of release matter as much as the decision to treat.
Physiotherapist-led rehabilitation to retrain movement patterns, relieve residual tension, and support the patient in achieving and sustaining optimal function over time.
Two clinic locations
Our main clinic is in Clonmel, Co. Tipperary, with a Saturday outreach clinic in Naas, Co. Kildare. Families travel to us from across Ireland and from abroad.
Book a free Concerns Call
In a short call, we will listen carefully and let you know clearly whether an assessment at the NTTC is likely to be the right next step for you or your child.
Book a free Concerns CallMeet the full team →
About NTTC
Ireland's specialist tongue tie and paediatric feeding clinic, bringing together all the expertise your family needs
Our mission
NTTC was founded on a simple principle: that feeding difficulties in infants and children are best understood and managed by a coordinated multidisciplinary team. Rather than sending families to multiple separate appointments across different services, NTTC brings together all the right expertise under one roof — ensuring a thorough, joined-up assessment and a care plan that every member of the team stands behind.
What makes NTTC different
Truly Multidisciplinary
Our clinic brings together a Paediatrician, Chartered Physiotherapist, and International Board Certified Lactation Consultants in one appointment. Each specialist contributes their expertise to a shared assessment and plan.
Root-Cause Focused
We do not manage symptoms in isolation. Every assessment aims to identify what is driving a feeding difficulty, pain, or restriction — and address it comprehensively, from oral function through to bodywork and rehabilitation.
Evidence-Based Practice
Our clinical approach is grounded in current evidence. From tongue tie assessment criteria to post-division rehabilitation protocols, we apply the best available evidence to every decision we make.
Family-Centred Care
We recognise that feeding difficulties affect the whole family. Our team communicates clearly, listens carefully, and involves families in every step of the assessment and management process.
Our Services
Our Team
Dr Justin Roche
Paediatrician & Founder
Dr Roche is a Consultant Paediatrician with specialist expertise in tongue tie assessment, division, and paediatric feeding medicine. He leads NTTC's medical assessment pathway and works closely with the multidisciplinary team to ensure all contributing factors are considered.
Read Justin's profile →Kate Roche
Clinical Director — Chartered Physiotherapist & IBCLC
Kate is a Chartered Physiotherapist and International Board Certified Lactation Consultant (IBCLC). As Clinical Director, she leads the physiotherapy and lactation strands of the NTTC pathway, including post-division rehabilitation, infant bodywork, and oral motor therapy.
Read Kate's profile →Ready to book an appointment?
Call 052 6108009 or email [email protected] — or book online below