Relative to a lot of other things that people should be concerned about, titanium dioxide in my mind, is really low on the list. I would be more worried about some substitutes that people are using for titanium dioxide that don't have decades of research associated with it, said Westerhoff.

An inorganic chemical, titanium dioxide is used as a dye to help products achieve a certain appearance, including whitening a product. Some experts and publications have described it as being akin to a paint primer that's used before the color is added to food in order to give products a uniform shine. Its presence is common in many items beyond Skittles including coffee creamers, cake mixes, and chewing gum. It's also used for pigment and in cosmetics manufacturing.

A dense, white, opaque pigment composed of a mixture of Zinc sulfide (30%) and Barium sulfate (70%) with trace amounts of Zinc oxide. Lithopone, first produced in 1874, was called Orr's white. The mixture of the two components is so intimate that it is hard to distinguish microscopically. Lithopone is an inert, transparent pigment which is often used as a filler or as a base for lake pigments. Lithopone was widely used in house paints in the first half of the 20th century. It was also used for some artist grounds, inks and as a filler in Paper, Leather, and Linoleum. Now lithopone has mostly been replaced by Titanium dioxide.

The mineral appears to have low skin penetration, but it is a greater concern when inhaled frequently over time.