Well, I do not think there is a definitive answer.
The isotype call is done in the same way as the pRESTO pipeline developed by NEBNext.
https://usegalaxy.org/published/workflow?id=51f936d1a4e849fa
So if you wish to compare your results with the ones of other papers who used the galaxy pipeline, use isotype.
(I do not know how overlapping the results will be, but I think they should be quite similar)
If your program requires the c_call (as in, the actual families, genes, and alleles annotated according to IMGT/GENE-DB standards) then you will need to use the c_call column and deal with the many missing values / resulting biases.
I am not sure if this issue can be solved in a future release, curious if Gisela has some prospects on this.