Abstract: The present invention provides a smart tooth cleaning device comprises a hand piece having a bearing surface, a tooth cleaning piece, a driving module connected to the tooth cleaning piece for driving the tooth cleaning piece to move, a first camera module comprising a first optical lens and a first image capturing element, and a first light source module comprising a plurality of light-emitting elements. The tooth cleaning piece has a tooth cleaning body, a brush head, and a plurality of bristles. The first camera module is disposed on the bearing surface and is electrically connected to the control module. The first image capturing element receives light along an optical axis of the first optical lens. A first angle ?1 between the optical axis and a first direction, is in a range of 5°to 30°. The first light source module is disposed on the bearing surface.