If you're doing SIP Early Offer, then an MTP is required. Using SIP Delayed Offer could possibly alleviate this.
Are you doing a ton of calls, or is your CUCM CPU spiking? Otherwise, there shouldn't really be an issue with using an MTP. Unless you're using DSP's to do it... Or if your carrier is offering a different version of G711 than you're using (alaw vs ulaw).
Have you ran any debugs yet that you can provide of the SIP Messages?
Regards,
-Tony