A medical dental grinding apparatus comprises an apparatus body, wherein an air pipeline, a clamping mechanism, and a grinding mechanism are provided in the apparatus body; the air pipeline includes an air inlet pipeline, an air outlet pipeline, and a U-shaped connection pipeline; a silencer is connected to an upper port of the air outlet pipeline; a plane where the air pipeline is located is perpendicular to a plane where the clamping mechanism is located, and the grinding mechanism is provided below the air pipeline; the grinding mechanism is driven by high-pressure air in the air pipeline to operate, so that a hidden danger of electric leakage caused by using an electric apparatus in a fragile oral environment is avoided; and a steel wire is fixed by the clamping mechanism, so that the grinding safety is ensured.