I use an AstroTrac quite a lot, it would get a lot more use except that between the weather (wind, rain, cloud, fog), the moon and light pollution I don't get that much opportunity to do so. It is a great piece of kit but like most things it has its limitations.
The longer the focal length you intend to use, the more sturdy the tripod and heads have to be and polar alignment needs to be more and more accurate. Answering your question, a geared head isn't essential, but it will make your life a lot simpler. That specific head (or similar) is used to polar align the AstroTrac. You then need an additional head on top of the AstroTrac to point your camera at your intended target.
Since I am mostly using a large lens with mine (500mm f/4 L IS), I upgraded from the Manfrotto 410 junior geared head to the dedicated wedge, it is a lot more sturdier and easier to use. I also use my gimbal head to frame my intended target.
I can't imagine not being interested in astrophotography now, and the AstroTrac was my first foray into it and it has still got many more miles to go. For the foreseeable future I am not intending on getting a sturdier mount, or even a telescope. It, along with my lenses are all I need. Warning though, it consumes a lot of time (and ultimately cash as you always want to upgrade bits) and can be much more frustrating than macro photography
Capturing the data is only the first step, processing the image takes the most effort and has a fairly steep learning curve, however there are plenty of rainy nights to practice processing for that one time you actually get to image
Have a look at my Flickr set, all were taken with the AstroTrac and various lenses (as listed). Not great compared to a lot of stuff out there, but if you had told me this was possible 18 months ago I wouldn't have believed you.
http://www.flickr.com/photos/72858142@N08/sets/72157630844004642/
Probably my favourite from this year was PanSTARRS Comet C-2011 L4 in conjunction with M31 Andromeda Galaxy. This will never happen ever again and I only had one shot at it.
2013-04-06 - Comet C-2011 L4 (PanSTARRS) by
StuartJPP, on Flickr