Fees
Your insurance company will pay a professional fee for the procedure to Dr Roche. This means that all the fees below that involve a frenotomy or frenuloplasty will be €100 less than listed below.
Infants up to 4 months old
| Service | Cost |
|
Consultation only
|
€295 |
|
Consultation and Frenectomy, Initial Feeding Support (IBCLC) & Diamond Care |
€595 |
Infants 4 to 6 months old
This is a 2 to 4 stage process depending upon the pathway:
An initial consultation with Dr Roche and Feeding support (IBCLC). If surgery is required a plan is made to determine what is required before surgery and which pathway is best for your child. The option of Frenectomy or Functional Frenuloplasty.
If Frenectomy is the best pathway for your child:
We will perform a frenectomy with topical anaesthesia using a CO2 laser. Feeding support or therapy, either with the team at NTTC or locally, may be required prior surgery.
If Functional Frenuloplasty is the best pathway for your child the following steps will apply:
2. Assessment of oral function and myofunctional work with Kate Roche, Chartered Physiotherapist (2 or 3 Sessions- as required)
3. Frenuloplasty under conscious sedation
4. Post-operative follow up (1 appointment)
| Service | Cost |
|
Consultation Consultation only
|
€295 |
|
Frenectomy Frenectomy, Feeding Support (IBCLC) & Diamond Care (This will be at a different appointment from the one above) |
€400 |
|
Functional Frenuloplasty Pre-op Physiotherapy - (Myofunctional) x2 sessions Functional Frenuloplasty including Conscious Sedation Post-op Review with Dr Roche |
€2950 |
Additional Services
| Service | Cost |
|
Second frenotomy (i.e. Lip Tie divided at the same time as Tongue Tie) |
€50 |
|
Lactation Consultation - Initial (45 minutes) |
€120 |
|
Lactation Consultation - Follow-up (30 minutes) |
€100 |
|
Infant Physiotherapy |
€100 |
|
Follow up/Review with Dr Roche |
€150 |
Fees for Infants over 6 months old, children and adults
FRENULOPLASTY WITH SUTURES
CONSCIOUS SEDATION USED FOR INFANTS AND CHILDREN
This is a 4 stage process:
1. An initial consultation with Dr Roche including measurements and photographs.
2. Assessment of oral function and myofunctional work with Kate Roche, Chartered Physiotherapist (2 or 3 Sessions- as required)
+/- Buteyko breathing classes with Louise (Children over 3 years old and Adults)
3. Frenuloplasty under conscious sedation (sedation is optional for adolescents and adults)
4. Post-operative follow up (1 appointment)
| Step 1 | Cost |
| Consultation | €295 |
| Step 2 - 4 | Cost |
|
Pre-op Physiotherapy - (Myofunctional) x2 sessions Functional Frenuloplasty including Conscious Sedation Post-op Review with Dr Roche |
€2950 |
Additional Services
| Service | Cost |
|
Buteyko breathing classes (3 x 30 minutes) |
€50 per 30 minute session |
|
Additional Myofunctional sessions |
€150 (Kate) €100 (Anabela) |
|
Additional Follow up/Review with Dr Roche |
€150 |
You will be provided with a receipt that may allow you to claim further reimbursements from your Health Insurance Provider, if your policy allows.
All fees paid at the National Tongue Tie Centre are eligible as health expenses that can be claimed through your tax return. Please see further information from The Revenue here
Glossary of Terms
Frenectomy is the division of a tie.
Functional Frenuloplasty is the division of a tie and release of sub-mucosal restrictions using CO2 laser (therapist-supported), and suturing of the diamond-shaped surgical site vertically which negates the need for active woundcare.