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Complete ORE Part 1 Syllabus & Exam Guide (2026)

Comprehensive breakdown of GDC ORE Part 1 Papers A & B, Prometric test centers, scoring criteria, and preparation strategy for overseas dentists.

Published: 2026-07-23Updated: 2026-07-2310 min read

1. What is the ORE Part 1?

The Overseas Registration Examination (ORE) Part 1 is the first hurdle for dentists who qualified outside the UK/EEA seeking registration with the General Dental Council (GDC). Passing the ORE allows foreign-trained dental professionals to practice independently or under foundation training in the United Kingdom.

Part 1 is designed to test your theoretical knowledge and clinically applied dental science to ensure it meets the standard expected of a UK dental graduate entering foundation practice (*Preparing for Practice* learning outcomes).

2. Exam Structure & Format

The exam is divided into two separate papers taken over two sessions on the same day or consecutive days:

  • Paper A (Biomedical Sciences & Clinical Dentistry): 100 questions (2 hours).
  • Paper B (Law, Ethics, Public Health & UK Guidelines): 100 questions (2 hours).

Questions follow Single Best Answer (SBA) and Extended Matching Questions (EMQ) formats. Every question has 5 options with 1 unequivocally correct answer based on current UK evidence-based dentistry guidelines.

3. Syllabus Breakdown

Paper A Focus Areas:

  • Human Disease & General Pathology: Cardiovascular, respiratory, endocrine, and hematological diseases relevant to dental surgical practice.
  • Oral Surgery & Local Anaesthesia: Local anaesthetic pharmacology (lidocaine, articaine), exodontia techniques, impactions, and nerve injuries.
  • Restorative Dentistry, Endodontics & Periodontology: Pulp biology, root canal instrumentation, periodontal risk scoring (BSP BPE), and crown margins.
  • Dental Radiology: CGDent/FGDP radiation protection, IRMER 2017 regulations, and radiographic diagnosis.

Paper B Focus Areas:

  • GDC Standards: The 9 GDC ethical principles for dental professionals (Patient autonomy, Consent, Confidentiality, Duty of Candour).
  • SDCEP Guidelines: Decontamination of dental instruments (HTM 01-05), antibiotic prescribing, and emergency management.
  • Medical Emergencies (Resuscitation Council UK & BNF): Anaphylaxis, cardiac arrest, syncope, hypoglycemia, and emergency drug dosages.
  • Legal Frameworks: Mental Capacity Act 2005, Gillick competence for minors, and safeguarding vulnerable adults.

4. Scoring Standard & Passing Criteria

The GDC uses a modified Angoff standard-setting method to establish the pass mark for each exam sitting. Typically, candidates need between 50% and 60% on each paper.

Crucial Rule: You must pass BOTH Paper A and Paper B in the same sitting. If you pass one paper but fail the other, you must retake both papers at your next attempt.

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5. Frequently Asked Questions

What is the format of the ORE Part 1 exam?

ORE Part 1 consists of two computer-based papers: Paper A (Biomedical Sciences and Clinical Dentistry) and Paper B (Law, Ethics, Public Health, and UK Guidelines). Each paper contains 100 Single Best Answer (SBA) and Extended Matching Questions (EMQ) and lasts 2 hours.

Where is ORE Part 1 delivered?

ORE Part 1 is delivered electronically at official Prometric test centres in the UK and internationally.

What is the pass mark for ORE Part 1?

The pass mark is determined for each sitting using a standard-setting method (modified Angoff algorithm), usually ranging between 50% and 60%. Candidates must pass BOTH Paper A and Paper B in the same sitting.