ONJ has not been linked with the routine use of bisphosphonates taken by mouth as treatment for osteoporosis. Thus, people should still use oral bisphosphonates as prescribed. However, when possible, any necessary oral surgery should be done before use of bisphosphonates is begun.
Remove nozzle tips and screens, and clean them using a cleaning solution. Use a brush with plastic bristles to clean the nozzle tips. Rinse the cleaning solution off all parts with clean water. Many nozzle manufacturers have brushes designed specifically for cleaning out nozzles.
A gas or electric washer with a pressure rating of at least 3,000 PSI, and a flow rate of at least 4 gallons (15.1 L) per minute, will effectively clean exterior concrete. Set the spray nozzle to high pressure and use a 40-inch spray tip.