What issues are you having with the sand? Not all hermits are a miracle cure for a "dirty" sand bed.
There are really only two major cons to owning them IMO. Larger crabs have a tendancy to become "bulldozers", knocking over any unsecured coral. Some have been reported to pick at corals as well. There is some debate on whether they are picking at corals or just finding some bit of detritus. Either way, if they hang out on the coral too long, it can be detrimental to the coral's health either way. Fortunately they are about the easiest moving thing in your fish tank to catch, outside of maybe snails, so if you do see issues, you can just snag it.