International Peer-Reviewed JournalOpen AccessISSN 2456-8880
irejournals@gmail.com+91-7433024337

Home / Current Issue / Paper 1719083

1719083 Vol 9 · Issue 12 Download Paper

Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies

Meenakshi Tewari Komal Sharma

Subject area: Biological & Medical Sciences  ·  Area of research: Streptococcus Mutans and Dental Caries

DOI: https://doi.org/10.64388/IREV9I12-1719083

Abstract

Dental caries is one of the major chronic infectious diseases that continue to affect individuals worldwide in large numbers. The disease is closely related to various microorganisms that form biofilm on the surfaces of teeth, resulting in dental caries due to the metabolism of microorganisms present in dental plaque. Among these microorganisms, Streptococcus mutans is commonly associated with dental caries development, considering its virulence factors that enable it to adhere to tooth surfaces, synthesize exopolysaccharides, and metabolize carbohydrates to produce organic acids. These virulence factors enable S. mutans to dominate other microorganisms in dental plaque, resulting in dental caries through enamel demineralization in an acidic environment. Recent advances in microbiology have indicated that dental caries is a polymicrobial infection that is caused by imbalances in the ecological system of microorganisms in the mouth. Preventive measures that have been effective in controlling dental caries are fluoride therapy, antimicrobial agents, probiotics, and natural bioactive agents. This article focuses on the role of S. mutans in dental plaque biofilm development, its molecular pathogenesis, and recent advances in its prevention and control of dental caries.

Keywords

Dental Caries, Streptococcus Mutans, Dental Plaque, Biofilm, Antimicrobial Agents, Probiotics, Prevention.

References

[1] Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nat Rev Dis Primers. 2021;7(1):59.

[2] Bowen WH, Burne RA. Biology of Streptococcus mutans: implications for dental caries. Microbiol Spectr. 2020;8(5):10-1128.

[3] Takahashi N, Nyvad B. The ecological plaque hypothesis: microbial shifts associated with dental caries. J Oral Microbiol. 2021;13(1):186–195.

[4] Thayumanavan T, et al. Role of Streptococcus mutans biofilms in the establishment of dental caries. 3 Biotech. 2025;15:89.

[5] Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369(9555):51-59.

[6] Featherstone JDB. Dental caries: a dynamic disease process. J Dent Res. 2020;99(10):1105-1112.

[7] Marsh PD. In sickness and in health—what does the oral microbiome mean to us? Adv Dent Res. 2020;29(1):60-65.

[8] Zhou X, Li Y, Yang X. The role of glucosyltransferases in Streptococcus mutans

[9] biofilm formation. Crit Rev Microbiol. 2021;47(3):325-341.

[10] 9.BanasJA.VirulencepropertiesofStreptococcusmutans.FrontMicrobiol. 2020;11:1389.

[11] Senadheera DB, et al. Regulation of virulence gene expression in Streptococcus mutans. Front Microbiol. 2021;12:637.

[12] Lemos JA, Quivey RG, Koo H, Abranches J. Streptococcus mutans: a new Gram-positive paradigm? Microbiology. 2020;166(9):101-114.

[13] Fitri DK, et al. Virulence genes associated with Streptococcus mutans biofilm formation. Front Oral Health. 2025;6:1654428.

[14] Rosier BT, Marsh PD, Mira A. Resilience of the oral microbiota in health and disease. Microbiome. 2020;8:56.

[15] Tanner AC. The oral microbiome and dental caries. J Oral Microbiol. 2020;12(1):171032.

[16] Gross EL, et al. Bacterial composition of dental plaque and its association with dental caries. ISME J. 2021;15(2):381-392.

[17] Huang R, Li M, Gregory RL. Bacterial interactions in dental biofilm formation. J Dent. 2022;115:103859.

[18] Xiao J, Klein MI, Falsetta ML, Lu B, Delahunty CM, Yates JR, et al. Interaction between Candida albicans and Streptococcus mutans enhances virulence of dental biofilms. Arch Oral Biol. 2024;156:105354.

[19] Gomez A, Nelson KE. The oral microbiome and its role in systemic health. Front Oral Health. 2021;2:673.

[20] Belstrøm D. The salivary microbiota in health and disease. J Oral Microbiol. 2020;12(1):1723975.

[21] Rosier BT, De Jager M, Zaura E, Krom BP. Historical and contemporary hypotheses on dental caries. Nat Rev Microbiol. 2020;18(9):507-520.

[22] Marinho VC, et al. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2021;7:CD002279.

[23] Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries. J Dent Res. 2022;101(3):245-252.

[24] Antonijevic S, et al. Effectiveness of fluoride varnish in caries prevention: systematic review. Dent Res J. 2025;22:41.

[25] Li J, et al. Antimicrobial activity of plant-derived polyphenols against Streptococcus mutans. BMC Microbiol. 2020;20:193.

[26] Daglia M. Polyphenols as antimicrobial agents against oral pathogens. Molecules. 2021;26(9):257.

[27] Karygianni L, et al. Natural antimicrobials and oral biofilms. Antibiotics. 2020;9(7):336.

[28] Hasslöf P, et al. Probiotic bacteria for prevention of dental caries. Caries Res. 2020;54(4):343-352.

[29] Rosier BT, Buetas E, Moya-Gonzalvez EM, Artacho A, Mira A. Nitrate as a prebiotic for oral health. Microb Ecol Health Dis. 2024;35(1):2304971.

[30] Devine DA, Marsh PD. Prospects for the development of probiotics for oral health. J Dent. 2021;110:103678.

[31] Koo H, Bowen WH. Candida-streptococcal interactions in biofilm-associated oral diseases. J Dent Res. 2020;99(3):260-268.

[32] Chen L, et al. Targeting biofilm formation in Streptococcus mutans. Front Cell Infect Microbiol. 2022;12:833.

[33] Cui G, et al. Antimicrobial agents targeting Streptococcus mutans biofilm formation. AMB Express. 2022;12:99.

[34] Zhang Y, et al. Nanotechnology approaches for prevention of dental caries. J Nanobiotechnol. 2023;21:145.

[35] Huang X, et al. CRISPR-based strategies to control bacterial pathogens. Nat Commun. 2021;12:191.

[36] Guo L, et al. Targeting virulence mechanisms in Streptococcus mutans. Front Microbiol. 2022;13:892.

[37] Li Y, et al. Advances in biofilm-targeted therapies for oral diseases. Front Oral Health. 2023;4:112.

[38] Marsh PD, Zaura E. Dental biofilm: ecological interactions. J Oral Microbiol. 2020;12(1):177.

[39] Koo H, Falsetta ML, Klein MI. The exopolysaccharide matrix of cariogenic biofilms. Nat Rev Microbiol. 2021;19(8):507-520.

[40] Rosier BT, Mira A, Zaura E. Oral microbiota and dental caries. Nat Commun. 2020;11:357.

[41] Xu X, et al. Microbial ecology of dental plaque and its role in caries development. J Dent Res. 2022;101(5):515-522.

[42] Lamont RJ, Koo H, Hajishengallis G. The oral microbiota: dynamic communities in health and disease. Microbiol Mol Biol Rev. 2021;85(4):e00062-21.

[43] Tanner AC, Kressirer CA. The oral microbiome and dental caries. J Oral Biosci. 2021;63(2):111-121.

How to cite this paper

Meenakshi Tewari, Komal Sharma "Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies" Iconic Research And Engineering Journals Volume 9 Issue 12 2026 Page 2375-2382 https://doi.org/10.64388/IREV9I12-1719083
Meenakshi Tewari, Komal Sharma "Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies" Iconic Research And Engineering Journals, vol. 9, no. 12, Jun. 2026, doi: https://doi.org/10.64388/IREV9I12-1719083
Meenakshi Tewari, Komal Sharma (2026). Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies. Iconic Research And Engineering Journals, 9(12). doi: https://doi.org/10.64388/IREV9I12-1719083
Meenakshi Tewari, Komal Sharma "Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies" Iconic Research And Engineering Journals, vol. 9, no. 12, Jun. 2026. Crossref, https://doi.org/10.64388/IREV9I12-1719083
@article{1719083,
      author = {Meenakshi Tewari, Komal Sharma},
      title = {Streptococcus Mutans and Dental Caries: Biofilm Formation, Virulence Mechanisms and Emerging Preventive Strategies},
      journal = {Iconic Research And Engineering Journals},
      year = {2026},
      volume = {9},
      number = {12},
      pages = {2375-2382},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1719083.pdf},
      abstract = {Dental caries is one of the major chronic infectious diseases that continue to affect individuals worldwide in large numbers. The disease is closely related to various microorganisms that form biofilm on the surfaces of teeth, resulting in dental caries due to the metabolism of microorganisms present in dental plaque. Among these microorganisms, Streptococcus mutans is commonly associated with dental caries development, considering its virulence factors that enable it to adhere to tooth surfaces, synthesize exopolysaccharides, and metabolize carbohydrates to produce organic acids. These virulence factors enable S. mutans to dominate other microorganisms in dental plaque, resulting in dental caries through enamel demineralization in an acidic environment. Recent advances in microbiology have indicated that dental caries is a polymicrobial infection that is caused by imbalances in the ecological system of microorganisms in the mouth. Preventive measures that have been effective in controlling dental caries are fluoride therapy, antimicrobial agents, probiotics, and natural bioactive agents. This article focuses on the role of S. mutans in dental plaque biofilm development, its molecular pathogenesis, and recent advances in its prevention and control of dental caries.},
      keywords = {Dental Caries, Streptococcus Mutans, Dental Plaque, Biofilm, Antimicrobial Agents, Probiotics, Prevention.},
      month = {June},
      doi = {https://doi.org/10.64388/IREV9I12-1719083}
  }