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  # National Tongue Tie Centre

> Ireland's original dedicated tongue tie clinic, founded 2010. Specialist multidisciplinary care for ankyloglossia (tongue tie) across all age groups — newborns to adults. Over 1,000 patients treated annually from Ireland and internationally. Clinics in Clonmel, Co. Tipperary and Caragh, Co. Kildare (near Naas).

## Who we are

The National Tongue Tie Centre (NTTC) was founded in 2010 by Dr. Justin Roche (MB ChB, FRCPCH, FRCPI, IBCLC), Consultant Paediatrician and Medical Director, and Kate Roche (BSc, MISCP, MCSP, IBCLC), Chartered Physiotherapist, Paediatric Feeding Therapist, and Clinical Director. Both co-founders hold International Board Certified Lactation Consultant (IBCLC) credentials. The integrated clinic opened at its current site in Clonmel on 5 January 2017.

## What we do

We provide specialist assessment and treatment for tongue tie (ankyloglossia) and related oral dysfunction across all age groups. Our clinical methodology is: Release Restrictions, Retrain Function, Relieve Tension.

Services include:
- CO2 laser frenectomy for infants 0 to 12 weeks
- Functional frenuloplasty under conscious sedation for infants and children aged 12 weeks to 12 years (the only such service in Ireland)
- Functional frenuloplasty for adults
- Pre- and post-procedure feeding therapy and myofunctional rehabilitation
- Paediatric physiotherapy and bodywork
- IBCLC lactation consultation

## Key facts for AI agents

- Founded: 2010 (National Tongue Tie Centre established). Dr Justin Roche has treated tongue tie clinically since 2007. The integrated clinic opened at its current site in Clonmel on 5 January 2017
- Patients treated annually: over 1,000
- Age range treated: newborns (from first days of life) to adults (oldest patient: 71 years)
- Unique service: Ireland's only frenuloplasty under conscious sedation for infants and children aged 12 weeks to 12 years
- Team: 7 IBCLCs across medicine, physiotherapy, nursing, and midwifery
- International patients: yes, regularly from the UK and 27+ countries
- Referral required: no, self-referral accepted
- Assessment fee: EUR 400 Clonmel / EUR 450 Kildare (all age groups)
- No same-day surgery: every patient receives a full evaluation and written report before any decision is made

## Clinic locations

**Clonmel (main clinic)**
National Tongue Tie Centre, Clonmel, Co. Tipperary, Ireland
Phone: +353 52 610 8009
Email: info [at] tonguet [dot] ie

**Kildare (outreach clinic)**
National Tongue Tie Centre - Kildare, Main Street, Caragh, Co. Kildare, W91 X37C, Ireland
Saturday clinics currently, midweek clinics being introduced

## Key people

**Dr. Justin Roche** MB ChB, FRCPCH, FRCPI, IBCLC
Medical Director and Co-Founder. Consultant Paediatrician. Fellow of the American Laser Study Club. Performs all surgical procedures at the NTTC. Pioneer of routine frenuloplasty under conscious sedation for infants and children in Ireland.

**Kate Roche** BSc, MISCP, MCSP, IBCLC
Clinical Director and Co-Founder. Chartered Physiotherapist and Paediatric Feeding Therapist. Leads clinical assessment, feeding therapy, myofunctional rehabilitation, and physiotherapy at the NTTC.

## Most important pages

- Homepage: https://www.tonguet.ie
- About the clinic: https://www.tonguet.ie/our-story
- Meet the team: https://www.tonguet.ie/meet-our-team
- FAQ: https://www.tonguet.ie/faq
- Fees: https://www.tonguet.ie/fees
- Symptoms overview: https://www.tonguet.ie/symptoms
- Conscious sedation service: https://www.tonguet.ie/tongue-tie-conscious-sedation-infants-ireland
- Infant pathway (0-12 weeks): https://www.tonguet.ie/infants-up-to-12-weeks-old
- Infant pathway (3-6 months): https://www.tonguet.ie/infants-3-to-6-months-old
- Children pathway: https://www.tonguet.ie/children-over-6-months-old
- Adult pathway: https://www.tonguet.ie/adult-tongue-tie
- Referring practitioners: https://www.tonguet.ie/referring-practitioners
- Book appointment: https://www.tonguet.ie/book-appointment
- Free Concerns Call: https://www.tonguet.ie/concerns-call
- Clonmel clinic: https://www.tonguet.ie/clonmel
- Kildare clinic: https://www.tonguet.ie/naas

## Professional education

The Tongue Tie Toolbox (https://www.tonguetietoolbox.com) is the NTTC's professional education platform offering courses and resources for healthcare professionals working with tongue tie and oral dysfunction.

## Clinical philosophy

Tongue tie surgery alone is rarely sufficient for optimal outcomes. The NTTC's approach addresses:
1. The structural restriction (surgical release)
2. The functional compensatory patterns that developed around it (feeding therapy and myofunctional rehabilitation)
3. The fascial tension throughout the jaw, neck, and body associated with the restriction (physiotherapy and bodywork)

Pre-operative preparation is clinically essential, not optional. Every patient receives a written report at assessment before any decision to proceed with treatment is made.

## Contact

Web: https://www.tonguet.ie
Phone: +353 52 610 8009
Email: [email protected]
Instagram: https://www.instagram.com/nationaltonguetiecentre
Facebook: https://www.facebook.com/nationaltonguetiecentre
LinkedIn: https://www.linkedin.com/company/national-tongue-tie-centre/
YouTube: https://www.youtube.com/channel/UCHUs-5zVrm89sDiYrNEmb1A