Neutrophil extracellular traps and phosphatidylserine exposure: The hidden thrombotic threat of periodontitis with diabetes

The hypercoagulability of DP patient can be partially explained by the activated platelet-promoted excess NETs providing a scaffold for clotting factors, damaging endothelial cells intercellular connections, converting of endothelial cells to pro-coagulant phenotype, and impairing of endothelial cells tube formation capacity. Blood sugar control and periodontal treatment can regulate the levels of NETs which represents the generation of new promising DP treatment options. In the future, efforts should be made to develop therapeutic strategies targeting NETs or PS.