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) & Physiotherapy Assessment

€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 with Feeding support (IBCLC)

 

 

€295

Frenectomy

Frenectomy, Feeding Support (IBCLC) & Physiotherapy Assessment (This will be at a different appointment)

 

€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)

€95

Lactation Consultation - Follow-up (30 minutes)

€75

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

€100

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.