Titanium dioxide can be both safe and unsafe, depending on its use. When inhaled, titanium dioxide is considered possibly carcinogenic to humans. This means that in products that contain powdered titanium dioxide like loose powders, pressed powders, eyeshadows, and blushes in which the makeup is in powder form, titanium dioxide can be inhaled. Titanium dioxide is also an occupational chemical of concern, as workers might inhale titanium dioxide when manufacturing products.

A significant body of research, mostly from rodent models and in vitro studies, has linked titanium dioxide with health risks related to the gut, including intestinal inflammation, alterations to the gut microbiota, and more. It is classified by the International Agency for Research on Cancer (IARC) in Group 2B, as possibly carcinogenic to humans.

The cytotoxic effect was tested through the colorimetric assay employing 3′-[1-[(phenylamino) -carbonyl]−3,4-tetrazolium]-bis(4‑methoxy-6-nitro) benzene-sulfonic acid hydrate (XTT) by reading the absorbance at 490 nm after 3 h of incubation post treatment [28]. The absorbance is proportional to the metabolic rate of viable (live) cells.