The production of Chinese anatase titanium dioxide involves a series of complex chemical processes, including hydrolysis and calcination of titanium precursors. These processes result in the formation of nanoscale particles of anatase titanium dioxide, which exhibit enhanced properties such as increased surface area and improved reactivity. The size and morphology of these nanoparticles can be controlled during the synthesis process, allowing for the production of tailored materials with specific properties for different applications.

Overall, the Food Directorate's comprehensive review of the available science of TiO₂ as a food additive showed:

There are many titanium dioxide manufacturer in market. Rutile Titanium dioxide in the form of a white pigment is widely used in the industry:
1. In the production of inks and printing inks - as a pigment with excellent whiteness and very good properties.
2. Plastic materials, such as: wall claddings, floor coverings (linoleum, rubber, PVC), roofing, wires, cables - titanium white is included in the protective layer against degradation of atmospheric conditions (especially UV radiation), and has concealing properties.
3. Cosmetics: gels, eye shadows, foundation, lipstick, pastes (including teeth) - as a component of pigments.
4. Tanning preparations - surface-modified with a hydrophobic coating - acts as a UV filter.
5. Paper pulp - anatine is used as a filler and reinforcement.
6, Packaging film, adhesive mortars, plasters, cement, caulking agents, ceramic tiles - is an additive that improves resistance to colour change.
7. PCigar production - titanium white gives the ash a white color.

In a review published in 2022 in the journal Archives of Toxicology, researchers found that the ingestion of E171 is a “a definite health risk for consumers and their progeny.” After reviewing dozens of in vivo, ex vivo and in vitro studies on the toxicity of E171, the researchers wrote that two facts must be noted: “First, reprotoxicity studies show that animals of both sexes are impacted by the toxicity of these nanoparticles, underlining the importance of conducting in vivo studies using both male and female animals. Second, human exposure begins in utero via maternal-fetal transfer and continues after birth by breastfeeding. Children are then chronically re-exposed due to their food preferences. To be relevant to the human in vivo situation, experimental studies should therefore consider nanoparticle exposure with respect to the age or life period of the studied population.”