The NC Tongue Tie Center believes that good oral function is for life.

Our Mission

The mission of the NC Tongue Tie Center is to devote our expertise and efforts to improve the health and wellness of infants and children with tethered oral tissues through conservative clinical practice, education of parents and healthcare professionals, and active research to help move the body of knowledge forward.

Comprehensive Evaluation – We use data from the medical history, symptom history, and a full clinical exam to pull together a narrative for parents that tell us where we are.  Only by knowing where we are, will we be able to know where we are going, and how we will get there.

Parent and child focused treatment options – We consider all treatment options based on the state of the child, and the wants and needs of the family.  Unbiased data, and objective interpretation help parents to see the pros and cons of all treatment options, including postponing treatment, or no treatment. Once we know where we are going, we can map out how to get there.  Everything they need, and nothing they don’t.

Integrative and interprofessional support – Talking to parents about the different support systems available before, during and after the frenectomy is important for the best outcomes.  We open doors to other professionals who can help make the journey smoother for the whole family.

Our Story

The North Carolina Tongue Tie Center is the culmination of a long held vision by an interdisciplinary team. The model we use has been in development since 2014 as a vision for a way to best serve families who have children struggling due to oral restrictions -tongue and lip ties. We have witnessed how overwhelming the “tongue tie journey” is for parents, who fight for answers, services, and clarity about what their child needs. Parents who bring their children to us have frequently gotten conflicting advice and information about the right course to take. Their children have often been given superficial treatment that fails to give full resolution.

The NCTTC consists of professionals from a variety of fields who all share a common goal –Patient Centered, Evidence Based, Integrative Care. Our vision is holistic care that treats patients as whole people and considers the needs of the whole family. We value the physical and emotional needs of both parents and the small people they give us the honor of caring for. We work for care that is unbiased in every possible way so that our recommendations and treatment are centered entirely on well informed parents making evidence based decisions about what is best for their children.

Meet The Team

Raymond Tseng
Raymond TsengDDS, PHD
Dr. “Ray” completed his Bachelors of Science (BS), Doctor of Dental Surgery (DDS), and Doctor of Philosophy (PhD) at the Ohio State University in Columbus, Ohio. He also completed a four-year residency/fellowship in pediatric dentistry and nutrition at the University of North Carolina Hospitals and School of Dentistry. Dr. Ray enjoys working with children of all ages, and has been focused on treating children with tethered oral tissues (TOTs) in infants and children with functional difficulties in breastfeeding, eating, or speech for over 6 years. As a clinician, researcher, and parent, Dr. Ray’s practice philosophy is rooted in evidence-based medicine, and the philosophy that we “do everything they need, and nothing they don’t.” This approach insures that all options are considered, and parents make a decision based on factual information, not “Dr. Google”.
Dr. Adam Ellenthal
Dr. Adam EllenthalDDS
Dr. Adam completed his Bachelor’s of Science (BS) at Boston College and both his Masters of Public Health (MPH) and Doctor of Dental Surgery (DDS) degrees at Columbia University. For pediatric dentistry residency, Dr. Adam was in Providence, RI with NYU Langone Hospitals. Dr. Adam speaks Spanish and has worked in Latin America and East Africa. He loves working with children of all ages and finding treatment options that work well for each child and family’s needs. Dr. Adam enjoys cooking, reading, and taking his daughter on outdoor adventures.
Danielle Carey
Danielle CareyMS, CCC-SLP, COM®
Danielle Carey MS, CCC-SLP, COM® has been a practicing speech-language
pathologist over the last 12 years. She is also a Board-Certified Orofacial
Myologist™, granted by the International Association of Orofacial Myology.
Danielle has achieved the following specialty training: infant feeding, TOTS:
Tethered Oral Tissues Specialty Training, Basic DIR/Floortime Certification,
recognized by Apraxia Kids as having advanced training in Childhood
Apraxia of Speech, and SOS Approach to Feeding. Danielle is a member of
ASHA, ICAP, and the IAOM.  She is currently a Clinical Instructor for the
following continuing education companies: Summit Professional Education,
Medbridge, Education Resources Inc., and Northern Speech Services.
Danielle is passionate about providing individualized, neurodiverse
affirming care to all clients. In her spare time, Danielle enjoys spending her
time at the beach with her 2 children, husband, and dogs. She loves building
her house plant collection, hiking, and reading.

I can smile with complete confidence! I can’t now imagine ever being concerned about appearing in photos. It’s just been a new lease of life. Thank you.

Laura Hughes