Titanium dioxide particles help light scatter and reflect, Kelly Johnson-Arbor, MD, a medical toxicology physician at the National Capital Poison Center, told Health. Because of that, we often use it as a whitening agent.

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TiO₂ comes in many different forms. However, only a few of these forms are considered food-grade (acceptable to be added to food). Many studies that raised concern about the safety of TiO₂, including the concern for genotoxicity, used forms of TiO₂ that are not considered acceptable for use in food and have different properties than food-grade TiO₂. Other studies did use food-grade TiO₂, but took steps to break the material down into smaller particles than what would normally be found in food.