There are three primary considerations when repairing a punctured tire. You need to evaluate the damage the object caused as it punctured the tire, reestablish an airtight seal of the tire's innerliner, and completely fill the path the object took through the tire. Typically a mushroom-shaped patch and plug combination repair is considered to be the best method of repairing a punctured steel belted radial.

Any repair attempted without removing the tire from the wheel is improper. Without inspecting the inside of the tire for hidden damage comes the risk of returning a weakened tire to service. Punctures in the tread area that looked repairable have revealed upon further investigation that the object that punctured the tire had been long enough to cut the tire's sidewall from the inside. Without dismounting the tire, the hidden damage would have been missed.

Simply plugging a tire from the outside without removing the tire from the wheel is improper. (If a tire is punctured while off-roading far away from civilization and a spare tire isn't available, a plug may serve as a temporary low speed solution that must be replaced with a proper repair as soon as possible upon returning to the road.)

Additionally, any repair that doesn't completely fill the path the object took through the tire is incomplete. While a patch on the inside of the tire reseals the innerliner, it does not fill the path of the puncture. This will allow moisture to reach the steel belts and/or the casing cords causing them to rust or deteriorate.

There are many different rubber compounds used in a tire. The tire's innerliner uses a special rubber compound that has the ability to better retain air. Once punctured, the innerliner must be cleaned, buffed, cemented, patched and coated to assure its ability to retain air has been restored. Since this can only be done from inside the tire, it's another reason that a plug-only repair is improper.

Continuing to drive on a tire with a slow leak may allow moisture to seep around the object and into the tire. This will reduce the probability that the tire can be repaired properly because the moisture will ultimately reach the internal steel and fabric cords used to reinforce the tire and possibly cause rust and loss of strength. To assure reestablishing a watertight seal the injury must be cleaned with a specially designed cutting drill that removes rust and sizes the injury properly to accept the rubber stem of the patch. Cemented in place, the stem will vulcanize with the tire to help prevent moisture from reaching the tire's reinforcing cords from the outside.

While indoor laboratory tests have shown that freshly punctured and properly repaired speed rated tires can still achieve high speeds, it is not recommended that repaired street tires, or punctured DOT-legal competition tires and racing slicks be used for track events.

How do you know which procedures a tire dealer uses? Ask them! But be aware that if they say they can repair a tire in 10 minutes for under $10 without removing it from the wheel, they aren't following the U.S. Tire Manufacturers Association procedures. A correctly done flat repair that follows the multi-step repair procedures will take approximately 30 minutes and probably cost around $30. Driving on an improperly repaired tire is dangerous because it can further damage the tire and/or allow its strength to deteriorate over time. An improperly repaired tire driven at high speeds may suddenly fail, causing loss of vehicle control. Additionally, the use of an innertube as a substitute for a proper repair generates additional heat and should not be considered.