Assuming that you do not want to change orig, you can either do a copy and update like the other answers, or you can create a new dictionary in one step by passing all items from both dictionaries into the dict constructor:
from itertools import chain
dest = dict(chain(orig.items(), extra.items()))
Or without itertools:
dest = dict(list(orig.items()) + list(extra.items()))
Note that you only need to pass the result of items() into list() on Python 3, on 2.x dict.items() already returns a list so you can just do dict(orig.items() + extra.items()).
As a more general use case, say you have a larger list of dicts that you want to combine into a single dict, you could do something like this:
from itertools import chain
dest = dict(chain.from_iterable(map(dict.items, list_of_dicts)))