$re = '/(<p class="outline"><outline><\/p>)(.*)(<p class="outline-end"><outline-end><\/p>)/s';
$str = '<p class="outline"><outline></p>
<p class="list">Chapter Outline</p>
<p class="txt">General Aspects of Gingival Epithelium Biology</p>
<p class="list"><list></p>
<p class="txt">Development of Gingival Sulcus</p>
<p class="list-end"><list-end></p>
<p class="txt">Cuticular Structures on the Tooth</p>
<p class="list"><list></p>
<p class="txt">Gingival Fluid (Sulcular Fluid)</p>
<p class="txt">Oral (Outer) Epithelium</p>
<p class="list-end"><list-end></p>
<p class="txt">Clinical Features</p>
<p class="txt">Marginal Gingiva</p>
<p class="txt">Interdental Gingiva</p>
<p class="txt">Conclusion</p>
<p class="list-end"><list-end></p>
<p class="outline-end"><outline-end></p>
';
preg_match($re, $str, $matches, PREG_OFFSET_CAPTURE, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php