A dense, white, opaque pigment composed of a mixture of Zinc sulfide (30%) and Barium sulfate (70%) with trace amounts of Zinc oxide. Lithopone, first produced in 1874, was called Orr's white. The mixture of the two components is so intimate that it is hard to distinguish microscopically. Lithopone is an inert, transparent pigment which is often used as a filler or as a base for lake pigments. Lithopone was widely used in house paints in the first half of the 20th century. It was also used for some artist grounds, inks and as a filler in Paper, Leather, and Linoleum. Now lithopone has mostly been replaced by Titanium dioxide.

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.

For his part, Kaminski argues most of the studies have been in animals, and any effects found were minuscule. He and his team also contested some of the findings in a 2019 study that found no evidence of increased inflammation or changes in the GI tract.

Following the EU’s ban on E171, the FDA told the Guardian that, based on current evidence, titanium dioxide as a food additive is safe.  “The available safety studies do not demonstrate safety concerns connected to the use of titanium dioxide as a color additive.”