Vital Defense-D Concentrated Surface Disinfectant and Holding Solution is a concentrated surface disinfectant and cleaner in one product, approved for use in medical and dental settings. Vital Defense-D is a broad spectrum antimicrobial disinfectant and cleaner. It is tuberculocidal and meets CDC guidelines for intermediate-level disinfectant use when blood and body soils are likely to be present. Detergents in the water-based formula provide effective cleaning. It may be used on surfaces, as a cleaning solution for instruments and as a disinfectant for dental impressions and appliances.