I hadn't really thought about it that directly, but now that you ask... The slit-mouth thing isn't just about a scary face. It's the distortion of something fundamentally familiar and safe. A mouth is for speaking, for smiling, for eating—it's human connection and nurture. Stretching it into this impossible, grotesque gash turns all of that on its head. The creature can't speak right, can't smile right; its consumption becomes violent instead of nourishing.
When I read stories with this kind of entity, the dread often comes from the uncanny valley of a human shape that's been... broken. It walks like a person but that face screams 'wrong'. It taps into a fear of something wearing a human skin poorly, of not being able to trust your own eyes about who or what is standing in front of you. The 'Kuchisake-onna' legends nail this—she asks if she's beautiful, forcing an interaction, but there's no correct answer because the apparatus for a normal conversation is physically destroyed. The symbol isn't just 'scary monster', it's the violation of a basic social contract.