The evidence also suggests that the toxicity of TiO₂ particles may be reduced when eaten as part of the diet. This is because proteins and other molecules in a person's diet can bind to the TiO₂ particles. This binding alters the physical and chemical properties of the particles, which influences how they interact with cells, tissues and organs.

Titanium dioxide (TiO₂) is commonly applied to enhance the white colour and brightness of food products. TiO₂ is also used as white pigment in other products such as toothpaste. A small fraction of the pigment is known to be present as nanoparticles (NPs). Recent studies with TiO₂ NPs indicate that these particles can have toxic effects. In this paper, we aimed to estimate the oral intake of TiO₂ and its NPs from food, food supplements and toothpaste in the Dutch population aged 2 to over 70 years by combining data on food consumption and supplement intake with concentrations of Ti and TiO₂ NPs in food products and supplements. For children aged 2-6 years, additional intake via ingestion of toothpaste was estimated. The mean long-term intake to TiO₂ ranges from 0.06 mg/kg bw/day in elderly (70+), 0.17 mg/kg bw/day for 7-69-year-old people, to 0.67 mg/kg bw/day in children (2-6 year old). The estimated mean intake of TiO₂ NPs ranges from 0.19 μg/kg bw/day in elderly, 0.55 μg/kg bw/day for 7-69-year-old people, to 2.16 μg/kg bw/day in young children. Ninety-fifth percentile (P95) values are 0.74, 1.61 and 4.16 μg/kg bw/day, respectively. The products contributing most to the TiO₂ intake are toothpaste (in young children only), candy, coffee creamer, fine bakery wares and sauces. In a separate publication, the results are used to evaluate whether the presence of TiO₂ NPs in these products can pose a human health risk.

③ Paper making industry: Paper making and paper products industry is the third largest application industry of titanium dioxide. Paper using titanium dioxide has good whiteness, high strength, luster, thin and smooth, and is not easy to penetrate when printing. Under the same conditions, the opacity is 10 times higher than that of paper using calcium carbonate and talc powder, and the weight can also be reduced by 15% to 30%. The amount of titanium dioxide in decorative paper accounts for 20%~40% of its raw materials, and the amount of titanium dioxide in other papers is about 1%~5%. Due to the continuous adjustment of the industrial structure of the paper products industry from 2016 to 2018, according to the data of China Paper Association, the output of China's paper products in 2019 was 72.19 million tons, a significant year-on-year increase of 29.4%, and the use of titanium dioxide increased significantly.

Because of their small size, nanoparticles may have unique physical and chemical properties. These properties may cause them to interact with living systems differently than larger materials with the same chemical composition (also known as bulk materials).

In order to achieve the same solids content, the larger filler and the binder should be reduced if necessary.  

FAQ – EFSA 2021 safety assessment of titanium dioxide (E171)

There are two primary forms of titanium dioxide commercially available: anatase and rutile. The rutile form is typically used in sunscreens due to its superior ability to handle UV rays and stability in the presence of UV light. The anatase form is typically used in other types of products, such as paint. Another plus of the rutile form is that its UVA protection extends past 400 nanometers, which is the upper limit of UVA.

For a mini-review published in the journal Particle and Fibre Technology in 2021, scientists wanted to evaluate whether Ti02 particles contributed to the development and/or exacerbation of irritable bowel disease, and whether they altered the four elements of intestinal barrier function: the intestinal microbiota, the immune system, the mucus layer, and the epithelium. The breakdown of these four elements can contribute to autoimmune, neurological, inflammatory, infectious, and metabolic diseases. Following their review, the researchers concluded: “Data indicate that TiO2 is able to alter the four compartments of IBF and to induce a low-grade intestinal inflammation associated or not with pre-neoplastic lesions.” 

Amount: if too little titanium dioxide is added, the distance between particles is too large and there is not enough opacity, while if the titanium content is too high, the particles interfere with each other and poor efficiency is obtained.