Streptococcus mutans colonization in the oral cavity is closely related to the incidence of dental caries. It is the main cariogenic micro-organisms to human. Domestic and foreign scholars, who engaged in finding and research to inhibit or kill Streptococcus mutans drugs, used the agents of antibiotics, disinfectants, fluoride and immune products to anti -Streptococcus mutans infection. Chemistry of synthetic and plant extract drugs anti - Streptococcus mutans drugs reviewed in the paper.