Disruption of Early Streptococcus mutans Biofilm Development on Orthodontic Aligner Materials

(1) Background: This study aimed to determine the optimum parameters for the treatment of Streptococcus mutans biofilm on clear dental aligners. (2) Methods: A 24-h-old S. mutans biofilm was grown on polyurethane (PU) and poly(ethylene terephthalate glycol) (PETG) aligners. These samples were treated with three chlorhexidine digluconate (CHX)-based antiseptic solutions, manual brushing, and a combination of both, with varying exposure times. The number of adhered bacteria was determined in both untreated and treated samples after sonication. Materials were analyzed with atomic force and scanning electron microscopy, and surface free energy (SFE) values were determined using three different models. (3) Results: Our findings indicated that control strategies do not depend on the type of material. PU and PETG surfaces exhibited similar SFE values (41–45 mJ/m2). Differences in surface roughness were insufficient to cause significant changes in S. mutans behavior. The highest efficacy of all three tested antiseptics was established for the exposure time of 1 min, with efficacy deteriorating just after 3 min. (4) Conclusions: The efficacy of CHX against S. mutans early biofilm is material-independent and time-dependent. The optimal exposure time of 1 min should be combined with brushing, with a general recommendation of the antiseptic-first approach.