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.

In addition to its physical properties, titanium dioxide also has environmental benefits. As a non-toxic compound, it is safe to use in homes, offices and public places. Coatings formulated with titanium dioxide contain virtually no volatile organic compounds (VOCs), ensuring minimal impact on indoor air quality and human health. Additionally, due to their long-lasting nature, titanium dioxide-infused paints can help create a more sustainable environment by reducing waste and the need for frequent repainting.