Well when sculpting with dynamic tesselation in Sculptris it feels and looks good…tehrefore definetely tris do not cause any problems…
Zbrush is quite capable of decimating and render perfectly smooth renders even with triangles
If you apply an iteration of catmull clark smooth it will create an all quad (with extraordinary vertices yes) but perefctly sculptable
In production we decimate and render everyday in renderman with absolutely no smoothing problem we simply rely on normal smoothing
there are some very beautiful pieces created in Sculptris that look awesome regardless of how it was tesselated or not quads or not