You could always make a unique index, which causes MongoDB to reject a conflicting save. Consider the following done using the mongodb shell:
> db.getCollection("test").insert ({a:1, b:2, c:3})
> db.getCollection("test").find()
{ "_id" : ObjectId("50c8e35adde18a44f284e7ac"), "a" : 1, "b" : 2, "c" : 3 }
> db.getCollection("test").ensureIndex ({"a" : 1}, {unique: true})
> db.getCollection("test").insert({a:2, b:12, c:13}) # This works
> db.getCollection("test").insert({a:1, b:12, c:13}) # This fails
E11000 duplicate key error index: foo.test.$a_1 dup key: { : 1.0 }