A visual tooth cleaning, grinding and polishing instrument includes a host, an oral observation instrument and a cleaning and polishing tool. The host can drive the cleaning and polishing tool and supply a power source and a control system for an illuminating system, an observation system and the oral observation instrument. A picture shot by a camera of the observation system can be transmitted to a display of the observation system in time, so as to achieve the purposes of cleaning the teeth while observing a process of cleaning the dental calculus, dental plaque and pigmentation on the surface of the teeth with the cleaning and polishing tool and the cleaning effect instantly on a mobile phone, thereby effectively cleaning, grinding and polishing the teeth. A flusher or an electric toothbrush head or other interdental cleaning tools may also be mounted on the host or the oral observation instrument.