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A patch is performed by removing the tire, marking the puncture, scouring the surface to create a smooth surface inside of the tire), applying rubber cement, applying the patch, then pressing it to the surface with a small metal wheel attached to a handle. An alternative is a combination patch and plug. This is manufactured with a plug built into it; applying this patch is done similarly except with more steps, including drilling a hole at the puncture so the plug can be pulled through it, as well as cutting off the excess plug from the outside the tire. A patch can only be done from the inside, making it the best and longest lasting repair.

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