I think it would help to have them adjusted. But the question is, how much would it help? And I would assume they are much more than a modest bump over stock. I'm using the SilverStar Ultras and they are noticeably brighter than stock. So much so that I would routinely get flashed when driving with them. I did finally adjust them (have a 3" lift), but still occasionally get a flash. On the first page, THatfield posts pictures coming from Ultras and claims they are noticeably brighter than them. If that is true, I would think that it would be very intense to oncoming traffic, even with adjustment. Now, THatfield also claims that they are bright while not being bright to oncoming traffic. While that may be true, I don't see how that's possible.
I adjusted the headlights after install to
minimize the potential for blinding other drivers.
with that being said, I most often get flashed on country roads, when people mistake the low beams for being on high. I'll be honest and say that I've been flashed a few times, however, my 2nd Gen GS430 with factory HID's got flashed quite a few times as well, and while I've had the 4Runner with these bulbs for nearly a year and a half, I only owned the GS for 3 months.
I also have a set of these PIAA's in my 2008, which has projectors. The ability to properly project and cutoff the beam makes these bulbs really excel. To say I'm not more aware of how my 99 may "scatter" the light and beam would be a lie. And I totally agree that the housing, being reflector, with LED, could be very intense. And to that point, I think measurements of output would be necessary. I personally felt they were a great improvement over the Sylvania's that I removed. However perhaps measurements will dictate that the output doesn't match my enthusiasm. And to that I suppose I'm only guilty of being excited for the product, because once first fired up, the difference was remarkable.
Bottom line, I think these bulbs are great, and while they don't seem to pose a risk without a projector, using them in a projector will get the best results out of the bulb and won't offend anyone. However PIAA released these with the intention of them being able to be used without a projector, which they can, and seemingly with little issue.
I took a chance on the bulbs when they first came out and haven't regretted it.