It's all in the user
I have a BD exhaust brake on my 95 2500 CTD with a 5 spd and have logged over 160,000 miles on it. After having it installed I had the valves run every 25,000 miles. I have yet to have any trouble and I had a jacobs installed on my 03 before I took delivery. The short period that the exhaust brake is engaged is not going to harm a cummins!