Our
services
We offer the full spectrum of tongue tie care in Ireland - from assessment and diagnosis through to surgical release, feeding therapy, and post-operative rehabilitation. Services are available for patients of all ages, from newborn to adult, at our main clinic in Clonmel and our Saturday outreach clinic in Naas.
Tongue tie presents differently across different life stages - and so does our approach to treatment. Each pathway is tailored to the age-specific anatomy, co-morbidities, and functional needs of that group. All pathways begin with a comprehensive evaluation and end with post-operative rehabilitation.
Birth – 12 weeks
Infants - 0 to 12 weeks
The most common presentation at NTTC. Anterior and posterior tongue tie in the newborn period causes feeding difficulties that have immediate consequences for both infant and mother. Our pathway includes functional physiotherapy assessment, IBCLC feeding evaluation, medical consultation, CO₂ laser frenectomy, and structured post-operative feeding support.
3 – 6 months
Infants - 3 to 6 months
At this age, the frenulum is thicker and more vascular - CO₂ laser alone is insufficient. NTTC is the only clinic in Ireland offering frenuloplasty under conscious sedation for this age group, with suture closure to reduce reattachment risk. The infant breathes independently throughout, without general anaesthetic. More extensive pre- and post-operative preparation is required.
6 months – 16 years
Children - 6 months to 16 years
Tongue tie in older infants and children presents with speech difficulties, fussy eating, mouth breathing, sleep problems, dental crowding, and behaviour challenges. The NTTC pathway includes structured myofunctional therapy, physiotherapy, and frenuloplasty under local or general anaesthetic as appropriate for age. Extensive pre- and post-operative therapy is central to good outcomes.
Adults
Adults
Many adults reach us after years of unexplained jaw pain, headaches, neck and shoulder tension, difficulty swallowing, snoring, or sleep-disordered breathing - often having been missed in infancy. The adult pathway involves detailed functional physiotherapy assessment, medical consultation, fascial bodywork, frenuloplasty under local anaesthetic, and a structured post-operative rehabilitation programme.
Not sure which pathway applies?
Our free Concerns Call is a short call with a member of the clinical team. We listen to what is happening, confirm whether an assessment is appropriate, and advise on the right age-group pathway before you book anything.
Alongside the core tongue tie treatment pathways, the NTTC team provides a range of specialist clinical services. These are available as standalone appointments or as components of the integrated treatment pathway.
Feeding Clinic
Specialist infant feeding assessment and support for breastfed and bottle-fed infants. Latching, transfer, nipple pain, supply, and infant behaviour. Available separately from the tongue tie pathway where needed.
Feeding Clinic details →Colic & Reflux
Assessment and management of colic, reflux, and digestive discomfort in infants - including the functional and structural contributions of tongue restriction and fascial tension.
Colic & Reflux details →Lactation Consultation
IBCLC-led lactation consultation for breastfeeding challenges at any stage. Seven IBCLCs across the NTTC team - available standalone or embedded within the tongue tie evaluation pathway.
Lactation Consultation details →Paediatric Physiotherapy
Chartered physiotherapy for infants and children - addressing jaw, neck, cranial, and fascial tension patterns associated with tongue restriction and tethered oral tissues.
Paediatric Physio details →International Patients
NTTC sees patients from across Ireland and internationally. Pre-visit remote consultations, travel and accommodation guidance, and integrated scheduling across the full pathway on a condensed visit schedule.
International patient information →Free Concerns Call
A complimentary 15-minute call with a member of the clinical team. Discuss symptoms, ask questions, and confirm whether an evaluation appointment is the right next step - before committing to a booking.
Book a Concerns Call →The National Tongue Tie Centre and its sister education platform, the Tongue Tie Toolbox, offer a range of professional development services - from structured online courses to clinical observation days and international lecturing.
Tongue Tie Toolbox
Our dedicated professional education platform with structured courses, Tie Talk community sessions, and CPD content for IBCLCs, physiotherapists, SLTs, feeding therapists, surgeons, and GPs.
Clinical Observation
Spend a full day at NTTC Clonmel observing the multidisciplinary team across evaluation, feeding therapy, bodywork, and surgical appointments. Tailored to your discipline and learning objectives.
Online Mentoring
One-to-one online mentoring with Dr. Justin Roche and Kate Roche. Case discussion, assessment queries, treatment planning, and post-operative management - for practitioners anywhere in the world.
Parent Guides
Symptom-specific digital guides for parents navigating a tongue tie diagnosis - written by the NTTC clinical team. Practical, evidence-based, and structured by age group and concern.
Two clinic locations
Evaluation appointments are available at both Clonmel and Naas. Full treatment pathways are delivered at the main Clonmel clinic. The Naas clinic operates on Saturdays for added flexibility for families travelling from Dublin and Leinster.
Clonmel - Main Clinic
Full evaluation, therapy and surgical services · Monday – FridayClonmel, Co. Tipperary, E91 F8X8
Naas - Outreach Clinic
Evaluation and assessment only · SaturdaysBallymore Eustace Road, Naas, Co. Kildare, W91 E6H2
Not sure where to start?
Our free Concerns Call is the easiest first step. A short call with a member of the clinical team - we listen to what is happening, let you know honestly whether an evaluation is likely to help, and point you towards the right pathway for your age group and situation.
