Titanium dioxide can be both safe and unsafe, depending on its use. When inhaled, titanium dioxide is considered possibly carcinogenic to humans. This means that in products that contain powdered titanium dioxide like loose powders, pressed powders, eyeshadows, and blushes in which the makeup is in powder form, titanium dioxide can be inhaled. Titanium dioxide is also an occupational chemical of concern, as workers might inhale titanium dioxide when manufacturing products.

The most significant uncertainty identified by the EU experts was the concern that TiO₂ particles may have genotoxic effects. Genotoxicity refers to the ability of a chemical to directly damage genetic material within a cell (DNA), which may lead to cancer in certain situations. Although the experts did not conclude that TiO₂ particles in E171 are genotoxic, they could not rule out the concern that they might be.

As of August 7, the use of titanium dioxide in food is banned in the European Union. Europe is taking a precautionary principle approach based on findings from the European Food Safety Authority (EFSA).

In summary, the Food Directorate's position is that there is no conclusive scientific evidence that the food additive TiO₂ is a concern for human health. This is based on a review of the available scientific data relevant to food uses of TiO₂. However, we will continue to monitor the emerging science on the safety of TiO₂ as a food additive and may revisit our position if new scientific information becomes available.