In recent decades, concerns for the risks of titanium dioxide consumption have grown.

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

Developing new Lithopone formulations, one that enhances the properties of the existing Lithopone is anticipated to boost the demand for Lithopone white pigment during the forecast period. Reinforced Lithopone is one such development, wherein a copolymer is added to the polymerization reaction to yield Lithopone with an increased weather resistance and an anti-ultraviolet property. Moreover, development of nano-scale Lithopone is also anticipated to attract market interest during the forecast period.

CSPI says it might reconsider its rating if specifications for food-grade titanium dioxide in the U.S. are updated to ensure nanoparticles are minimized, and new studies are conducted to assess its capacity to cause cancer or other health problems.