While the FDA maintains that the regulated use of titanium dioxide is safe, the European Food Safety Authority and some other experts warn of potential, serious health risks.

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.

There's also evidence that inhaling titanium dioxide particles can be dangerous. That's mainly a concern for industrial workers. In places where it's produced, or where it's used to make other products, workers can breathe it in as a dust. The Occupational Health and Safety Administration has exposure standards manufacturers must meet.

After oral ingestion, the absorption of titanium dioxide particles is low, however they can accumulate in the body, Maged Younes, chair of the European Food Safety Authority's expert Panel on Food Additives and Flavourings, said in a May 2021 statement.