An 8-year-old patient fractures a central incisor with pulp involvement. What is the best treatment?

In a young permanent tooth with an open apex and a recent, small pulp exposure from trauma, vital pulp therapy (direct pulp capping, ideally with MTA or another bioceramic material) is preferred to preserve pulp vitality and allow continued root development (apexogenesis). Indirect pulp capping is used when the pulp is not exposed; pulpectomy/extraction would needlessly sacrifice a tooth that, with prompt vital pulp therapy, has a good prognosis.