Objective To analyze the effect of bioceramic iRoot BP Plus vital pulpotomy in the treatment of young permanent anterior teeth and its influence on inflammatory factors and dental function. Methods A total of 90 patients with young permanent anterior teeth treatment admitted to Affiliated Stomatological Hospital of Xuzhou Medical University from October 2021 to June 2023 were selected and divided into observation group and control group according to the random number table method, with 45 patients in each group. The control group was implemented MTA vital pulpotomy, and the observation group was implemented bioceramic iRoot BP Plus vital pulpotomy. The success rate, adverse reaction rate, dental function and inflammatory factor indexes were compared between the two groups. Results The success rate in the observation group was 93.33%, which was higher than 88.89% in the control group, but the difference was not statistically significant (P >0.05). The incidence of adverse reactions in the observation group was 6.67%, which was lower than 44.44% in the control group (P <0.05). After treatment, the scores of fixation, comfort, mastication and language in the observation group were higher than those in the control group (P <0.05). After treatment, the levels of IL-6 and TNF-α in the observation group were lower than those in the control group (P <0.05). Conclusion Compared with MTA vital pulpotomy, bioceramic iRoot BP Plus vital pulpotomy has good effects on the physiological development and maintaining the basic function of young permanent anterior teeth, which can promote the restoration of dental function, inhibit the level of inflammatory factors, and reduce the incidence of adverse reactions.