I do mine according to the Dexter manual in regards to pumping grease in while turning the wheel until old grease comes out and new shows up. The way they are designed compared to a bearing buddy is much better. Grease no doubt gets to the interior bearings since there is a wole drilled in the spindle. I look at pumping new grease as "preventive maintenance." If it was dangerous or didn't work I can assure you they would not recommend this. With today's sue happy world they wouldn't mention this.
This is not a substitute for manually packing and inspection though when the time comes.