practically useless :
1) most drivers not sure how to apply properly
2) can't physically see the "liquid" actually flow into the puncture
3) can only fix small punctures; anything larger than a medium sized nail, the sealant is useless
4) the tyre that has been pumped with sealant will still need to be changed when reached the nearest tyre shop. The tyre is unusable.
5) it is a whole lot of mess
The reason for the rise of such useless sealants are due to emissions/efficiency reasons. No spare tyre = less dead weight = less fuel consumption = lesser emission
So, our local tyre shop method of using tyre repair patch is actually more effective. Nothing beats a proper spare tyre in real life.
Another way to put it, the severity of the puncture that a sealant can actually fix is minimal enough that you can slowly drive to the nearest tyre shop. If totally flat, without an air pump, it is useless despite having sealant.
that why car without spare tyre use run flat (i hate it, too expensive) .......