Most people have no idea what a DSB does, nor how to use one, aside from bad/wrong message board dogma. They can be a great addition if you know what you are doing. They can be terrible if you are a lazy and uninformed keeper, but this is the same as any other method. This was true when more people used them... they had no idea despite many, many publications and books written to help people with them.
First, they are not nutrient sinks, but they can mask bad husbandry from a hobbyist for a time and people think that they are "time bombs" when later they can no longer do the work that the hobbyist should have been doing. They are so good at their job that they give people a false sense of security with their lacking care for years. More on this in a minute...
You can clean them, but you have to go slow. Hydrogen sulfide is not an issue from a DSB.
If done right and left alone, they can really take nitrate down to NSW levels leaving just enough to drive the equilibrium forward with a level of about .1 to .3 of nitrate (or just about perfect for me).
If any "nutrients" fall into the sand, they are quickly consumed by microfauna or bacteria - most of the stuff in the sand is inert.
...so back to the inaccurate "time bomb" thing, there are a few things that you have to know. First, aragonite binds massive amounts of phosphate.... true with rock and sand. When you use an aragonite sand bed, it will absorb phosphate for years and keep your tank level really low and stable whilst it is doing this job. This can be 4-8 years, or so. The whole time the hobbyist thinks that P is no issue and does not understand what the big deal is because they are not even good with their husbandry or water changes and they have no P or N issues. Then, one day, the aragonite is "bound up" and the levels start to rise in the tank. The hobbyist, who has been successful for all these years, does not know that they themselves are the problem and thinks that the sand bed is now "leeching" P when it is in fact just not capable of doing the dirty work anymore. People online remember reading things about "time bombs" and the bad message persists.
How do you keep your sand bed from filling up with phosphate? You have an export mechanism early on, like normal water changes, a fuge or chaeto or even using media and chemicals, that keeps the sand acting as a reservoir for low quantities, but not getting filled up without any export.
Personally, I would never run a tank without 3-4 inches of sand. I like that is keeps the N low and acts as a buffer for P. I also do skim with many skimmers per tank, change water and run an effective fuge which keeps the sand from filling up. I have cucumbers that clean the sand, but every few years I do vacuum a small part of it to clean it out.