In a study published in the journal Environmental Toxicology and Pharmacology in 2020, researchers examined the effects of food additives titanium dioxide and silica on the intestinal tract by grouping and feeding mice three different food-grade particles — micro-TiO2, nano-TiO2, and nano-SiO2.  With all three groups, researchers observed changes in the gut microbiota, particularly mucus-associated bacteria. Furthermore, all three groups experienced inflammatory damage to the intestine, but the nano-TiO2 displayed the most pronounced changes. The researchers wrote: “Our results suggest that the toxic effects on the intestine were due to reduced intestinal mucus barrier function and an increase in metabolite lipopolysaccharides which activated the expression of inflammatory factors downstream. In mice exposed to nano-TiO2, the intestinal PKC/TLR4/NF-κB signaling pathway was activated. These findings will raise awareness of toxicities associated with the use of food-grade TiO2 and SiO2.”

No. The titanium dioxide we use in our toothpastes has been proven safe by health experts around the world. It is used in our toothpastes as a white colourant, in a non-nano form as defined by European regulations. It is an approved colourant in cosmetics, and we comply with all the regulations applicable to it.

The National Cancer Institute tested TiO₂ for possible carcinogenicity by the oral route of exposure by feeding rats and mice with TiO₂ (size not specified) at doses 25,000 or 50,000 ppm TiO₂ for 103 weeks. They concluded that TiO₂ was not carcinogenic.Also, the study with rats fed diets containing up to 5 % TiO₂ coated mica for 130 weeks showed no treatment-related carcinogenicity. Since the size and other TiO₂ properties were not specified or determined, we cannot generalize this conclusion and we have to take into account other possible outcomes of this scenario in different exposure conditions (other size/crystalline structure of TiO₂ etc.).