Service for Infants, Children and Adults
The most experienced Tongue Tie Clinic in Ireland
Tongue Tie division and frenuloplasty without the need for General Anaesthetic using a CO2 Laser, the optimal tool for soft tissue surgery

On Site
Medical Assessment - Consultant Paediatrician
Feeding Support - International Board Certified Lactation Consultants
Bodywork and Myofunctional Therapy - Physiotherapy & Myofunctional Therapy Team

"Dr Roche and your phenomenal team.
What more can I say,other than you have changed my life and saved my mental health.

Tadhg is 5 months old now and 3 months post procedure.
Tadhg was diagnosed with reflux at 2 weeks old. He vomited after most feeds and always seemed to be in pain, or what I thought to be pain during a feed. He never latched on to the bottle properly. We made numerous trips to different GPs and ended up in the hospital a couple of times where he was assessed. I was told "reflux" over and over. I couldn't understand why nobody asked to see him feed. The fact that he couldn't latch on or stay latched on to the bottle must have something to do with it I thought. I queried tongue tie after doing a lot of research. Again, this was dismissed over and over by different health professionals. I was at a loss. It was through my research that I discovered the National Tongue Tie Centre in Clonmel. I made an appointment to see Dr.roche. The minute I stepped foot inside the clinic I was made to feel at ease. From the receptionist Michelle who was so welcoming and friendly, to the lactation consultant Agnes who was extremely knowledgeable. I was immediately impressed. Then, Dr.Roche himself introduced himself to me and assessed my little boy. He diagnosed him with a posterior tongue tie and a severe lip tie. I felt a weight lift off my shoulders straight away. Finally, somebody who knows what they are talking about. I was, and still am to this day completely blown away by Dr Roche's wealth of knowledge on the subject. The procedure was carried out in a different room and he was brought back in to me after about 10 minutes. 

However, over the course of the following week Tadhg appeared to go downhill with his feeding. His volumes decreased substantially. He didn't want a bottle near him. He screamed each time. Even getting him into the feeding position or putting a bib on him caused him a huge amount of distress. The only time he would take a bottle was when he was asleep. That following weekend, he ended up being admitted to hospital dehydrated and losing  weight. An NG tube was fitted to ensure he was getting adequate nutrition. This continued for the week and I was heartbroken. He was suspected to have CMPA. I couldn't understand this as he didn't show any symptoms of an allergy apart from refusal to feed. He was discharged a week later on nutramigen formula to trial for 2 weeks. Unsurprisingly, he made no improvement so I switched him to Hipp Organic. Weight gain was very slow each week. It wasn't until I broke down to Dr.Roche on Tadhg's discharge day from clonmel that he realised something wasn't quite right. He diagnosed Tadhg with a feeding/bottle aversion due to the trauma of the procedure and being pressured to feed. Generously, he told me to bring Tadhg to him each week to be weighed. He didn't want to discharge him until he was 100%. I was overwhelmed and so relieved. I was continuously supported by the wonderful Amanda each week who showed me how to pace feed and weighed Tadhg. We took the no pressure feeding approach and let him take the lead which was difficult to do as when he was admitted to hospital I was advised to get as many ounces into him as possible even if that meant syringing him. It was beyond stressful and my mental health took a massive hit. I was bordering PND again. Again, I cant praise Amanda enough who I think saw this in me and supported me no end to get us through this. I am forever grateful. 

Tadhg continued to show improvements week by week. His latch has improved 100%. Today, he is demolishing 5-6oz bottles and has roughly 26-30oz a day. And the best part is, he looks forward to his bottles and now has lots of chubby leg rolls. What more could a mammy want! He is the most happy, content and smiley baby who is meeting all his milestones.

I honestly cannot thank you enough for everything you've done for our family, there are not enough words. I hope you all have a wonderful new year."

Michelle Gilshenan 



Why do I use a laser for division?

All Tongue Tie or Lip Tie divisions at the National Tongue Tie Centre are completed using a CO2 laser. My personal preference is to use a CO2 laser for division of both tongue and lip ties. Having performed tongue tie divisions with scissors for 9 years before switching initially to a diode laser and then on to a CO2 laser, the advantages that I have seen are: greater precision of division as it is possible to visualise and divide the tie to the appropriate fascial layer, no bleeding for nearly all patients and less inflammation and pain following the procedure.