Just to give you an idea, my first 486 in 1994 was a Cyrix DX 33, and during that time period for these CPU's heatsink/fan was not even being considered. When I upgrade to an AMD DX4 100 in 1995, it was already common practice to put both a heatsink and fan on top of every 486 CPU. My latest 486 class CPU was a Cyrix 5x86 100, in early 1996, and it came only with a (nice and green) passive heatsink (I also added a small fan on top of it because I was forcing it to 120 MHz).
As a side note, my tiny little soldered-on-board Intel 386SX-16 in 1992 was running so hot, any touch on it, a couple of seconds long, would definitely result in a blistered finger. During that time, nobody was even talking about CPU cooling. It still works today, in spite of the fact that for the first 2 years of its life, it is mostly used with FORTRAN number crunching jobs, numerical analysis programs that runs several days without break.
All things aside, as all the other people already said before me, it is just common sense to use heatsink, fan and thermal paste for any 486 CPU, because it reduces the heat fatigue on the CPU and it cost next to nothing.
GA-6VTXE PIII 1.4+512MB
Geforce4 Ti 4200 64MB
Diamond Monster 3D 12MB SLI
SB AWE64 PNP+32MB
120GB IDE Samsung/80GB IDE Seagate/146GB SCSI Compaq/73GB SCSI IBM
Adaptec AHA29160
3com 3C905B-TX
Gotek+CF Reader
MSDOS 6.22+Win 3.11/95 OSR2.1/98SE/ME/2000