Purpose: To assess the perceived need for more esthetic options, the practicality of using newer technologies, and the barriers faced in implementing new technologies among pediatric dentists in the Southwest region of the US. Methods: A 23-question de-identified survey was sent to members of the Southwest Society of Pediatric Dentists in their quarterly newsletter (generated through a QR code) via RedCap. The survey included questions regarding the pediatric dentist's knowledge of available computer-aided design and computer-aided manufacturing (CAD/CAM) dental technology and areas of current application. Results: The survey revealed a moderate to significant need among dental practitioners for more esthetic and durable restorative options in pediatric dentistry, particularly for permanent teeth and special needs patients. There was a notable lack of current CAD/CAM technology usage, which is attributed to barriers such as cost and knowledge gaps. A high demand for esthetic solutions from parents was noted, although less importance was placed on custom restorations for primary teeth. The findings also indicated that demographic factors, such as age and years of experience, significantly influence the perceived necessity for new restorative options and the adoption of new technologies, with a trend toward greater interest in esthetics among female practitioners and those with longer practice experience. Conclusion: The results indicate an increasing demand for alternative esthetic and durable restorative options in pediatric dentistry, particularly for permanent teeth and special needs populations. However, the limited familiarity and knowledge concerning CAD/CAM technology among pediatric dentists suggest that further education and research are necessary to bridge this gap.