Which one should you take?
We sell preparation for both and have no reason to push you either
way. Everything below was checked against the GDC and RCS England on
13 August 2026. Nearly everything written about these exams online predates
the May 2026 fee change, so if a figure you have been quoted elsewhere disagrees
with one here, check the date on it.
ORE — two parts
£7,567
in exam fees, passing everything first time
£3,013 less
LDS — three parts
£4,554
in exam fees, passing everything first time
The gap is almost entirely one number: the ORE Part 2 clinical exam
costs £6,967 on its own. It rose 65% in May 2026, and that single change is
what made the LDS the cheaper route.
What each route costs, part by part
| Fee | ORE | LDS |
| Application to sit | £115 | None |
| Written stage | £485 | £1,025 |
| Clinical stage | £6,967 for Part 2 |
£1,793 for Part 2 |
| Second clinical stage | — | £1,736 for Part 3 |
| Exam fees, total | £7,567 | £4,554 |
| GDC registration application | £117.23 | £117.23 |
| Annual Retention Fee, first year | £698 pro-rated | £698 pro-rated |
| On the register, all in | about £8,380 | about £5,370 |
Neither figure includes travel, accommodation, a manikin course or
resits. A failed ORE Part 2 is another £6,967; a failed LDS Part 2 is
£1,793. That is the other half of the cost difference, and it only shows up
if something goes wrong.
What you actually sit
| ORE | LDS |
| Run by | GDC, delivered by UCL Consultants | Royal College of Surgeons of England |
| Parts | Two | Three |
| Written stage |
Papers A and B, three hours each, sat in person on consecutive days |
Papers A and B, 150 single best answers and three hours each, sat at home under remote proctoring |
| Clinical stage |
Part 2: operative technique on a manikin, OSCE, diagnosis and treatment planning, medical emergencies |
Part 2: a 12-station OSCE plus six structured clinical reasoning cases, over two days |
| Third stage | None |
Part 3: one day, a 180-minute operative assessment on a manikin |
| Attempts allowed | Four at each part | Four at Part 1, three at Part 2, three at Part 3 |
| Time limit | Part 2 within five years of passing Part 1 |
Each part within five years of the one before it |
| Track record | Long established |
Restructured for 2026 — Parts 2 and 3 are new in this form |
What you need before you can apply
| Requirement | ORE | LDS |
| Dental qualification | Certified copy, plus a UK ENIC Statement of Comparability |
Certified copy of your primary dental qualification |
| Clinical experience | 1,600 hours treating patients, evidenced by a clinical reference — needed to apply at all |
1,600 hours, but not needed until you apply for Part 2 |
| Character reference | Required. Within 12 months of graduating it must come from your dental school |
Certificate of good standing |
| English language | The same GDC standard on both routes — see below |
| Application processing | Up to 60 working days | Booked exam by exam |
The clinical-hours difference is worth reading twice. The ORE will
not let you apply at all until you have 1,600 hours signed off. The LDS lets you sit
the written paper first and produce the hours later — so if you are short of
hours now, one route is open to you and the other is not.
If you have just graduated, you may not need IELTS
The usual requirement is IELTS Academic 7.0 overall with no less than 6.5 in each
of the four skills. But the GDC will normally accept, instead, a recent primary
dental qualification that was taught and examined in English.
It is not enough on its own. All three have to be true:
- the qualification was taught and examined in English;
- it is no more than two years old — that is the GDC's definition of recent;
- at least 75% of your clinical interaction, including contact with patients,
relatives and other healthcare professionals, was in English — evidenced by a
structured English language reference.
If that describes you, apply while it still does. The two-year clock
runs from your qualification, not from when you decide to start — and once it
has run out, IELTS is the only way back. This is a GDC registration requirement, so
it applies whichever route you take.
So which one
Take the LDS if cost is the deciding factor, if you are short of clinical hours
right now, or if sitting the written paper at home rather than flying to London
matters to you. It is about £3,000 cheaper and a failed clinical exam costs a
quarter of what the ORE's does.
Take the ORE if you would rather two stages than three, or if you want the
longer-established route: the LDS Parts 2 and 3 were restructured for 2026 and there
is not yet much history to go on. It is the more expensive path by a wide margin.
Both end in exactly the same place — full registration with the General Dental
Council. Neither is regarded as the better qualification once you are on the register.
Where we come in
We prepare you for the written stage of either — ORE Part 1 or LDS Part 1. The
standard reading is condensed into short revision topics, the question banks are
built to each paper's own format with every answer explained, and both open the
moment you sign in. Three hours of the full course are free on either side, so you
can see the whole thing before deciding anything.
The clinical stages are not something we sell preparation for yet.
Fees and requirements checked against the
General Dental Council and
RCS England on 13 August 2026. Fees change,
and the awarding bodies are the only authority on them — confirm anything you
are about to pay for before you pay it. Our longer write-ups are in the
ORE route guide and the
LDS route guide.