Abstract: Objective: To evaluate the short-term efficacy of iRoot BP Plus, a bioceramic material, applied in pulpotomy for complicated crown fractures of immature permanent anterior teeth. Methods: A retrospective analysis was performed on 67 patients(74 teeth) with complicated crown fractures that underwent pulpotomy using iRoot BP Plus at the Stomatological Hospital Affiliated to Guangxi Medical University between June 2020 and March 2023. Patients were followed for up to 2 years postoperatively. Clinical and radiographic data were analyzed. Clinical evaluation included assessments of pulp exposure size, percussion, tooth mobility, and the presence of abscess or sinus tract. Radiographic evaluation focused on the formation of a dentin bridge beneath the capping material, calcification of the pulp chamber and root canal, root development status, and periodontal ligament continuity. Results: At the 2-year follow-up, all cases demonstrated no percussion pain, no soft tissue swelling, and no periapical sinus tract. Radiographic examination revealed no periapical radiolucency, no root resorption, and complete continuation of root development in all teeth. Conclusion: iRoot BP Plus used as a pulp capping agent in pulpotomy for complicated crown fractures of immature permanent anterior teeth effectively promotes continued root development and demonstrates reliable short-term clinical efficacy, supporting its broader application in clinical practice.