[Elements vary by font and positioning] scholars say this is depicting what a「tiger gives」which is TERROR for some, and includes the meaning of a long-held anxiety or uneasiness about something from the「distorted mouth」element, a facial gesture one might make when terrified for a long time. More likely, though, is the literal meaning of all the elements, which is someone with a mouth like a tiger, or as violent as a tiger might clench the neck of its prey in its jaws in order to cut off the blood supply to the head and also suffocate its victim, the usual manner in which a tiger kills prey. The「distorted mouth」here belongs to a「fellatrix tiger」and not necessarily only to the client screaming in pain. Someone clenching tiger-like while「giving fellatio」as a man's worst nightmare, HORROR, RISK, UNEASINESS with the present circumstances of having no trust of the service provider.
As「shaman tigress brothel proprietress with distorted orifices」the elements make perfect sense as ever-present ANXIETY and FEAR, since if disease infects her staff of service providers with「orifice distortion」then her revenue stream will dry up quickly as the「bad word, howling, warring condition at the shaman's place」spreads among clientele, destroying her hard-earned reputation for peddling only 'clean' whoreholes.
CLENCHING and related problems and fears are present in these glyphs:
歯 and 齒 as teeth.
恨 regret, hate, resentment, rueful, hold a grudge, malice, bitter feeling, rancor, to curse and swear.
艮 chewing.
仡 being fed up with conditions and bravely doing something about it while unafraid of the consequences.
旡 suddenly choking on something in one's throat.
兂 clasped with teeth.
邪 wickedly demonic.
拑 pinning with clenched teeth.
音 loud noise.
既 and 既 too late, happened already, unchangeable.
茱 and 萸 bloody stump, dogwood.
飢 ravenously chomping meat.
啗 enticing lure, gnawing meat.
啖 threaten a superior, taunt and torment, reckless endangerment while tasting and eating.
猖 ferocious and insane, mad, reckless, not following the rules.
惕 healthy respect of danger.
𣇄 and 晣 biting off a chunk, bent by tonguing mouth.
惮 and 憚 fear, dread, shirking, shrunk.
喫 clenching with gasps.
吃 and 喫 extirpate, destroy utterly.
揕 bare-fisted jab, punch in the face.
意 long in thought, intent, concerns.
貇 tenaciously clenching jaw and not letting go.
虞 horror, terror, terrorism.
鉗 clamp and gag.
𪗱 and 齟 discord, broken teeth.
𪘚 and 齬 gritting one's teeth, great hatred.
齭 pain caused by teeth.

External source definitions …excluding politically incorrect concepts and other meanings deemed offensive today; may include extended definitions, euphemisms, and mnemonics)
Chinese: to expect; to anticipate; to worry; to cheat
Japanese EDRDG: expectation, consideration, uneasiness, fear, anxiety, concern
Unihan extended: concerned about, anxious, worried

Used within names (nanori)
すけ　･　もち　･　やす