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cycleclinic
Chak
IME the worms are a get-you-home option; on MTB tyres it doesn't matter that the worms poke out, as the knobbly tyre bits compensate for the protrusion, but on a road tyre you really fucking notice it, regardless of the pressure. In a perfect world you can cut them so they're just sticking out (they flatten over time and go hard, once you've doused them in solution), but you have to get a good sharp blade because it's quite easy to accidentally pull the worm back out.
Oh, and like a previous poster suggested, you can trim them vertically and horizontally because the size they come in is often far larger than is required to fill the hole.