The exhaustive research over the past four decades has focused on the natural growth of the mandibular condyle and growth changes during the use of different orthopedic appliances on experimental animals. Cartilage growth is partly genetically determined but is strongly influenced by epigenetic factors. The latter includes systemic factors and local factors, such as growth factors and mechanical stimuli. Growth factors and cytokines are local mediators which are rapidly degraded or inactivated. They can be secreted in response to mechanical and inflammatory stimuli.Growth factors are a large family of polypeptide molecules that regulate cell division in many tissues by autocrine or paracrine mechanisms.Depending on what receptors are activated, growth factors can initiate mitogenic, antiproliferative or trophic effects, that is growth factors act as positive or negative modulators of cell proliferation. The synergistic and orchestrated influences of various growth factors and other regulatory factors that are endogenously expressed in the condyle have been well documented. Growth factors do not only play an important role in embryonic development and adult tissue homeostasis but also in pathological situations, like infection and wound healing. Consequently, the applications of growth factors have therapeutic applications.