Clinical education for tongue tie practitioners.
Built from two decades of practice.
Courses, surgical training, peer community, and parent resources โ developed by Kate and Justin Roche from over 20 years of dedicated tongue tie practice at Ireland's National Tongue Tie Centre.
tongue tie practice
per year
International Speakers & Award Winners ยท Tongue Time 2026 ยท ISCP 2026 ยท ASTOT 2026 Bali ยท Irish Healthcare Awards Finalists 2025 ยท Irish Enterprise Awards 2026
Where are you clinically?
Pick the pathway that matches your current challenge. You can always come back and explore another โ that's the point of the Toolbox.
Assessing & Managing
You're seeing signs of oral dysfunction in your patients. Whether you're a lactation consultant, physiotherapist, SLT, or bodyworker โ sharpen your assessment, deepen your clinical understanding, and build confidence in the therapy you're delivering.
Feeding & Therapy TrainingPerforming or Referring for Surgery
You're a dentist, ENT, paediatrician, or GP performing or referring for frenectomy or frenuloplasty. Real-world surgical cases, clinical context, and the confidence of seeing the complete picture โ not just the procedure in isolation.
Surgical Insights CourseBuilding Knowledge & Connecting
You have a solid foundation and want to keep developing. A space where multidisciplinary thinking is the norm โ surgeons, therapists, and IBCLCs in the same conversation. Peer discussion that drives practice forward.
Tie Talk CommunityTie Talk โ Choose your level
The professional community. Case discussion, peer connection, and access to current content across disciplines. No cost โ no commitment.
Join Free โFortnightly live sessions with expert facilitation. Full recording library. Course discounts. For clinicians who are serious about staying at the front of this field.
Join Elite โLearn directly from Kate and Justin in a hands-on clinical setting. Limited places. For clinicians ready to integrate the full methodology.
Find Out More โLooking for help with tongue tie?
Whether you're wondering whether something is wrong, already on the journey, or trying to make sense of a diagnosis โ the Parent Toolbox gives you clear, clinically grounded information at each stage.
Tongue Tie Care Companion
How to optimise the outcome of tongue tie treatment. Practical, step-by-step guidance for the pre- and post-procedure period โ developed from clinical practice at the NTTC.
Join the notification listInfant Feeding Companion
Tips and practical strategies for feeding your infant. Latching, bottle feeding, positioning, and pacing โ clinically developed and parent-friendly.
Join the notification listBe the first to know
The Parent Guides are in development. Leave your email and we'll let you know as soon as they're available.
Not sure where to start?
Answer two quick questions and we'll direct you to the right part of the Toolbox.
Built by clinicians.
For clinicians.
The Tongue Tie Toolbox was developed by Kate and Justin Roche, co-founders of the National Tongue Tie Centre in Clonmel โ treating over 1,000 patients per year across every age group, from newborns to adults.
We built this because the clinical education available in this field didn't reflect the standard of care we believed was possible. So we built it ourselves, from the ground up, around our methodology: Release Restrictions. Retrain Function. Relieve Tension.
Kate Roche
Clinical Director & Co-Founder, NTTC
Dr. Justin Roche
Medical Director & Co-Founder, NTTC
In colleagues' own words
Reviews of the Functional Feeding and Therapeutic Techniques course from the Tongue Tie Toolbox.
One of the most comprehensive and clinically relevant trainings on oral function and tongue tie I have encountered to date. This course clearly bridges the gap between theory and practice. It promotes a crucial shift in clinical thinking โ moving beyond a visual diagnosis to truly recognising the importance of function. The Tongue Tie Toolbox equips clinicians with the skills to assess and support oral function, with practical tools that can be implemented immediately in clinical practice, supporting families before, during, and after frenotomy where appropriate.
Registered Public Health Nurse ยท IBCLC
An incredible resource for any clinician interacting with babies under six months presenting with feeding issues, fussiness, colic, reflux, or sleep concerns. It's like being in the clinic next to Kate โ but better, because you can pause and rewind. Completion of this course has enabled me to confidently detect oral dysfunction, implement pre- and post-operative techniques, and empower parents with science-based information so they have buy-in from an early stage in the process. I can easily integrate the teachings into my daily practice with no added time needed.
Chartered Physiotherapist MISCP ยท Oranmore Physio and Craniosacral Therapy
Referring a patient, or looking for treatment?
The Tongue Tie Toolbox is the education arm of the National Tongue Tie Centre, Clonmel โ Ireland's original dedicated tongue tie clinic, established 2007. Assessment and treatment for all ages at tonguet.ie.
Find your place in the Toolbox
Whether you're a clinician looking to advance your practice, or a parent navigating the tongue tie journey โ there's a place for you here.
