I think you can proceed to pulpectomy with the application of MTA. No need to go for extraction. But, if the patient's parents don't agree with MTA treatment, as it's an expensive one.Then maybe the tooth extraction and application of space maintainer will be the choice of the treatment option.
I think pulpectomy is a good option, making a careful instrumentation on root canal, I´m agree using MTA on perforation site or BIODENTINE coverin full chamber space. And finally a SSC restoration assuring a good sealing.