Streptococcus mutans is a bacterium that is the primary cause of tooth decay. It produces acids when metabolizing sugars that cause demineralization of tooth enamel over time. S. mutans adheres to tooth surfaces using enzymes that produce glucans from sucrose, forming dental plaque biofilms. Within biofilms, S. mutans is able to survive acidic conditions produced during acid production, leading to cavities if plaque is not removed. Regular brushing and the use of fluoride and dental sealants can help prevent tooth decay by disrupting biofilms and strengthening enamel.